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My Story

  1. Hey Guys, Tomorrow I'll be talking to Dr. Devroye, he is the creator of the WAW system, the punch used by some of the world's best Konior, Hasson and Wong, Feriduni, Shapiro, etc. Some of you may not know this, but Dr. Devroye was the first European doctor to join the Hair Transplant Network well over a decade ago. The live session will be at 10am Pacific time, 1pm eastern time, and 6:00pm UK time and 7:00 pm Belgium time. Please ask your questions here, and be sure to join to ask any other questions. He is an authority on FUE and wrote many of the FUE terms along with Dr. Jose Lorenzo.
  2. 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!
  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. Dr. Ron Shapiro is known as the godfather of hairlines. Definitely worth getting a consult with SMG, especially if you're in the states.
  5. 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.
  6. 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.
  7. 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?
  8. 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!
  9. 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
  10. 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
  11. My 1st FUT was on April 2014 with Dr Konior, so almost 7 years since then. Here's where my 1st FUT journey is documented at Dr Konior had done a good job with my 1st FUT that I never really had any concerns going again for another FUT if need vs FUE. I've also heard that going FUT before FUE can maximize the grafts that can be taken out, so I started looking for my options. No prizes for guessing who my 1st choice was ( sorry, it wasn't Dr Ron as mentioned in my title ) but Dr Konior. I reached out to him and found out that his prices have skyrocketed. Almost 2.5x than before. And a much longer waiting list. Time to be both happy and sad. Sad because his current price was out of my budget and happy since I knew I made the right choice the first time since he has become so much in demand. I then tried contacting those around me since I did not want to take the flight during this Covid . I am in the midwest so Dr Konior, Dr Panine, Dr Nadimi, Dr Wolf, Dr Haber were all within short drivable distance. I had virtual consultations with Dr Nadimi and Dr Wolf. As I tried to look further, I saw that both Dr Cooley and Dr Ron were almost the exact distance from where I live. I talked to Matt from Dr Ron's clinic and Lollie from Dr Cooley's clinic. What I understood after all the talk was that none of them suggested me doing my crown since I am still in my late 30's without any medication. And I had a very large area to cover ( as you can see in my pics). I was disappointed since I thought I could cover it all up. H&Wong gave the most estimated grafts at 3500. A few others at 3000 but the rest of them wanted to be conservative from 2000-2500 grafts to save a few for the future. Dr Cooley's rep said 3000 at the max with lighter crown coverage and Ron's rep said 2000 and can push it to 2500 but not the whole crown. My hairline also had somewhat thinned out at places and I liked Dr Shapiro's hairline. And so I choose him knowing that he's one among the best that's out there, and hairline being one of the deciding factor . Attaching a few pics of how my hair look just before the 2nd transplant. I'll update soon on the surgery details which I had about a week ago.
  12. Just curious how much does Dr. Shapiro charge per FUE graft?
  13. I know Shapiro Medical starts off some fin-tentative patients with a very small dose (I think around 0.25mg). Some members of the forum take .5mg three days a week and they still see some benefits. You don't have to do the full dosage. If you are worried enough about your hair to consider HT's then you should at least give fin a try. I've been on it for 14 years - no regrets even though I remember it being a big deal for me when I started it. I wouldn't be where I am today without it that's for sure.
  14. From my general research and specifically from the Shapiro study @Melvin-Moderator posted in this thread, it seems as if more and more agree that with advancement in instrumentation over the past 6 years, FUE and FUT are equally as effective in terms of graft survival and transection and can yield the same amount of lifetime grafts, however, the Shapiro study posit that if you combine the 2 techniques over a lifetime of a patient, you can yield more grafts. The Shapiro study says as much as 3k grafts. As for FUE being pushed, it seems to be that you need less staff rather than an entire team of techs= more training, etc.
  15. 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/
  16. Diep got you fantastic density, but the placement is less than ideal when consulting with other top surgeons. I relayed some information regarding Diep's "perspective" on the cornrow placement, and I was told that this is completely false and irregularities are just as important to achieve a natural look so that people cannot tell you had a transplant. I would advise going to Shapiro, Konior, H&W, Cooley, and/or Gabel for your repair and for them to fill in those areas. Also, not sure why they placed multi-grafts in the hairline... So odd.
  17. I've been doing a lot of research and have had various email/text consultations. My top choices so far are between Bisanga, Gabel, H&W, Ferreira or Shapiro. They all have great work, price and location are somewhat non factors (they all kinda even out). What would be best deciding factor on who to go with? I'll most likely need 2 FUE surgeries to hit roughly 6k grafts and get full coverage. For the initial one, they've all recommended around 3500-4k grafts where they will reconstruct my hairline and midscalp. H&W were comfortable going to 5k if possible. I'm leaning towards Bisanga, H&W, or Gabel at the moment - only downside for H&W is I'd need to quarantine 2 weeks in Vancouver beforehand otherwise I would've already gone in for the surgery. I'm sure a number of others have ended at this same dilemma before so would love to hear some thoughts here.
  18. Interesting point @Domino. I assume that it is probably a case by case basis depending on donor, but if one were to have an average donor, if one were to start with FUE what is the maximum amount of grafts that could be harvested before FUT no longer becomes an option in that you couldn't conceal a strip scar. Any ideas @Raphael84? I heard Ron Shapiro in the interview Melvin had with the Shapiro Group say not to go over 4k grafts with FUE if one wanted to do FUT in the future.
  19. Dr. Nadimi is a great surgeon, as is Dr. Shapiro. Dr. Shapiro has a lot more experience. I don’t think anyone would say otherwise. That said, I’ve seen excellent results from both surgeons, and both are definitely worth consulting with. In regards to your case with Arocha. He’s also a very good doctor. can you please send me your name and date of surgery. I would like to reach out to him regarding your case. Communication with your surgeon is always critical.
  20. I was supposed to have a procedure at H&W but it didnt happen because of the coronavirus. I want to have it as soon as possible because I wont be able to have one until next year (work obligations). So now im thinking of booking a procedure with Shapiro or Konior. The "downside" of Konior for me is that I cant see any review on him except this forum, so I wonder why? And the "downside" of Shapiro is that I cant find any recent results of FUE from him and I dont know much about him (my own dermatologist said he's one of best in the world). I would like to hear your opinions, thank you!
  21. 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.
  22. I heard back from all three of the clinics I reached out to! Dr. Konior responded to me personally, which surprised me. After reviewing my photos, he said I do have a moderately advanced frontal hairline recession and that I'll need at least 3,000 grafts. He really liked the photo I had photoshopped as a goal (though I understand I should lower my expectations). He said my donor area looks healthy and that strip harvesting is my best bet. He said his fee for a restoration like this would be about $25,000, which came as a shock. That's definitely higher than I had planned to pay (almost double), but it seems to be half of what @BLE123 figured it'd cost. I know he is genuinely one of the best in the world, so I would love to hear everyone's thoughts on how reasonable that is. His soonest availability is more than a year away, so I explained I still want to take a little more time and contact the other two doctors (Cooley and Shapiro). I asked Dr. Konior if he was familiar with them and he said they are both "exceptional surgeons and two of only a handful (he would) recommend". I just need to say, in the few emails I exchanged, Dr. Konior was an absolute pleasure to talk to. I cant even fathom how busy he must be, so it was incredible he took the time to respond. As for Shapiro and Cooley, I originally thought they hadn't responded (part of the reason this update took so long), but just a warning -- their website form replies went directly to my spam folder. The auto-response I got from Shapiro included a PDF with pricing information. If I were to go with FUT (as Dr. Konior suggested), it is $5.50 per graft for first 2,000 grafts; $3 per graft over 2,000 grafts. That puts me at about $17,000 if I get 4,000 grafts. If I instead go with FUE, they ask $7 per graft. That puts me at $24,500 if I get 3,500 grafts. Avoiding the strip-scar isn't really worth $7500, honestly. My consultation is scheduled for May. These prices are a little higher than what @hybonix had mentioned, so hopefully there will be a little room for leniency. I am still waiting for a confirmation from Ms. Russo at Dr. Cooley's office (as I responded 5 days late to her consultation arrangement), but hopefully I'll be scheduled for this June (the earliest time available). I'm really looking forward to these appointments. Thank you guys again for all of the help so far. This community is incredible.
  23. Hi All, I first need to thank this forum and the members. I cannot overstate the impact of this forum throughout my journey. After thoroughly researching this forum and having several phone consultations, I figured out that Shapiro medical group is the right option for me. Given the extensiveness of the surgery I needed (photos are attached), I decided to go with Dr. Shapiro. My surgery was on June 19th (three days ago), and currently I am super pleased with the experience. The surgery itself went very smoothly and I didn't feel even a little pain (that could be because Dr. Paul has an expertise in pain management). Initially we were shooting for 3500-4000 grafts, but we ended up with 4775 grafts (I think it is considered mega-session, right?). I have attached pre- and post-op photos. I appreciate if you give me your feedback. Any comment is very much appreciated.
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