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My Story

  1. I've been using this forum a ton over the past months to plan out who would work best as a surgeon for my procedure. I wanted to pay it forward and provide updates with my experience with Dr. Wesley, especially because (while he seems to be highly regarded) there don't seem to be a ton of member-created reviews, progress pictures, patient experiences, etc. for him. So I figured I'd add mine. I'm a 31 year old male who first started noticing my hair thinning probably just about a decade ago. I went on finasteride in 2012, and have been using it on and off since (no real sides, I just did a bad job meeting with my primary care physician to re-up my prescription when it ran out, and as a result, had a few periods of maybe 9 months or so when I wasn't on it. I was off it for a decent amount of 2020, but just got back on again just over two months ago in May '21. I' also used topical minoxidil and dermapen some in the past year or two, but wasn't terribly consistent with it (probably not enough or for long enough to see results). I'm now approximately a NW 3. I had an extremely stressful psychological event happen in mid March of this year, and a month or so after, I started noticing an increased amount of hair shedding out in showers. I have very long hair for a guy (pictures below) so the shedding was very obvious, and that's what caused me to get back on Fin asap. Since then (especially since June) my hair has been shedding at an alarming rate (maybe 200 hairs per day), and seems to be shedding from the back and sides of the head rather than just the area affected by MPB. This has led me to believe that I may have telogen effluvium as well. Unfortunately I had already scheduled and put down a $5000 deposit with Dr. Wesley before I realized this was likely the case, but I discussed things with him and he seems assured that if I have TE, it won't result in a worse transplant result. I did a consult with another surgeon (located in Ft. Lauderdale, FL) previously before finding this forum, but once I saw more reviews and the surgeons that have been vetted by this community, I decided Wesley was likely my man. The main factors in this decision were his excellent reputation on this board, the many, many quality and natural looking results he posts regularly, and (importantly) the fact that he was taught to do hair transplants without shaving the recipient area. I like my hair long; it took me two and half years to get it to this length, so having to shave it would likely be a deal-breaker. I went FUT because I could just shave and remove the strip from the back and the long hair back there will hide the sutures/scar. I did an in-person consult with Dr. Wesley about a month ago and came away impressed; he seems to know his stuff and is very friendly. I arrived at 10:30 AM this morning having spent the night in NYC the night before (I'm from out of town). When I arrived, we did a brief recap of the plan for the hairline that we had laid out during the initial consult, and made a few very minor tweaks. I was given Valium and Vicodin, changed into scrub-type gear, and then was off to the races. My donor strip was shaved first and then removed, as well as the implantation slits created, which took a few hours. The combination of Valium and Vicodin made me extremely drowsy, and so I was in and out of consciousness for the entirety of the procedure, but I felt just about 0 pain (just the initial pin prick feelings to numb the scalp). When I awoke, I took a bathroom break and then the technicians began implanting the grafts. This took a few hours again, and I again dozed for much of the procedure. Approximately 2200 grafts were implanted; I'm hoping to get the exact number and follicle breakdown tomorrow. When they were finished, I took a quick few immediate post-op photos, and then my head was wrapped in a bandage. I'll be returning tomorrow morning to have the hair areas cleaned and to receive final post-op instructions. Below are a variety of photos I've taken over the last 3 months to try to get a good sense for the current state of my hair. Some of them are in harsh lighting with the hair clean, some are in complementary lighting with the hair dirty, some wet in harsh lighting, etc. I also tried to include as many angles as I could so I have as many reference points as possible to compare to in the future. I'm definitely going to be continuing on Fin (more rigorously now) and will likely also add oral Minoxidil into my stack as well, assuming it doesn't produce side effects as I introduce it gradually. Really worried about shock loss of the pre-existing hair and hope that's kept to an absolute minimum, because if you lose a 2-inch hair to shock loss, it's not that big a deal; it will regrow and be the same length in just a few months. Losing hair that's my length is way more of a gut punch because it will literally take 2 years or so for it to regain that length, so for that reason I'm hoping to be fortunate and only experience a little. Thanks to everyone who's shared so many experiences and so much information on this forum; it really helped me to make a decision. I'll be updating this thread fairly regularly (and hopefully wont be obsessively checking myself every day and/or freaking out when I hit the ugly duckling phase).
  2. #BeforeAndAfterMondays This 63-year-old woman underwent a follicular unit transplantation (FUT) session with [URL="/"]Dr. Carlos K. Wesley[/URL] in which a total of 1727 grafts were placed. Aspects of our surgical approach can be viewed on our site’s Most Common Questions page. Three unique elements combined to help improve her experience: methods for optimal discretion, enhanced graft storage measures, and rigid patient safety standards. As with all of Dr. Wesley’s patients, she was NOT required to trim her hair for the procedure. As a result, this patient was able to return comfortably to work and social activities within approximately 7-10 days of her procedure. Her hair follicles were incubated in autologous (her own) platelet rich plasma (PRP) throughout the duration of the procedure. This, combined with an ATP-containing storage solution has been shown to enhance survival of transplanted hairs. Finally, having her procedure performed in our office with the highest standards of COVID precautions helped ensure patient safety. Every patient of Dr. Wesley’s receives a rapid COVID test upon arrival to our office equipped with an ultraviolet air purification system. Measures such as reducing foot traffic by performing virtual consultations at no charge to patients, regular staff COVID testing and no-touch temperature checks of our team that avoids public transportation help preserve our clean and sanitary safe haven. Daily sterilization of the office coupled with the most rigid OR safety precautions further allay patient concerns in this sensitive time. The patient returned two years after her procedure and images of the patient can be seen below. This link illustrates the timing of hair growth after surgery. Similar patient hair transformations with Dr. Wesley and his team may also be viewed.
  3. #BeforeAndAfterMondays This 33-year-old man underwent follicular unit transplantation (FUT) session with Dr. Carlos K. Wesley in which a total of 2324 grafts were placed. Aspects of our surgical approach can be viewed on our site’s Most Common Questions page. Three unique elements combined to help improve his experience: no-shave requirement for optimal discretion, enhanced graft storage measures, and rigid patient safety standards. As with all of Dr. Wesley’s patients, he was NOT required to cut his hair for the procedure. As a result, this patient was able to return comfortably to work and social activities within approximately 7-10 days of his procedure. The patient’s hair follicles were incubated in platelet rich plasma (PRP) throughout the duration of the procedure. This, combined with an ATP-containing storage solution has been shown to enhance survival of transplanted hairs. Finally, having his procedure performed in our office with the highest standards of COVID precautions helped ensure patient safety. Every patient of Dr. Wesley’s receives a rapid COVID test upon arrival to our office equipped with an ultraviolet air purification system. Measures such as reducing foot traffic by performing virtual consultations at no charge to patients, regular staff COVID testing and no-touch temperature checks of our team that avoids public transportation help preserve our clean and sanitary safe haven. Daily sterilization of the office coupled with the most rigid OR safety precautions further allay patient concerns in this sensitive time. The patient returned four years after his procedure and images of the patient can be seen below. This link illustrates the timing of hair growth after surgery. Similar patient hair transformations with Dr. Wesley and his team may also be viewed.
  4. This doctor is absolutely fantastic. I had been losing hair since 17 and had a couple thousand grafts at 21. Dr Wesley was incredible. He mapped out exactly how to make the best out of my transplant to make the hair look natural and full. I hear a lot of horror stories about surgeries getting botched and hair growing in crooked and so on, but now I have a full, healthy head and no one could even tell that I ha surgery! I'm so happy with it and the doctor was really amazing. He made me feel so comfortable with everything and made sure I felt zero discomfort before, during, and after the surgery. It's been two years and we still keep in touch and he still asks how I'm doing, and I still drop by for occasional checkups or just to talk some more. He's very personable and professional, reasonable and calming. I reccomend Dr Wesley as highly as I can, and sincerely hope that everyone gets the treatment they most need
  5. About me: 28 Years old, started Finasteride in early-mid twenties. My crown has been very stable since then, though I'm not sure whether it was due to the medication or not. Finasteride, however, didn't do anything for my hairline, which has been slowly creeping back at the temples over the years. I first started looking into hair transplants in early 2020 out of curiosity. I was prepared to ruefully accept my hair loss since I viewed hair transplants as high risk and unnatural looking. I have to give this forum complete credit for reversing my opinions 100%. Research: I consulted with some popular clinics recommended on this site including H&W, Eugenix, Dr. Bloxham (in person), and Dr. Wesley. All recommended in the ballpark of 1500-2000 grafts. Obviously, each of these clinics and doctors are highly regarded and have remarkable results. During my research, though, I was delving into papers published in the ISHRS journal by Dr. Cooley where he would discuss the conditions ideal for hair transplantation and graft survival down to the temperature and humidity of the room, which he controls during actual procedures. This level of perfectionism and attention to detail, in addition to his phenomenal patient results, really impressed me and in the end I chose him. The procedure: I took an Amtrak into North Carolina and checked into the Hilton the clinic booked for me. All of Dr. Cooley's out of town patients pass through here and they accommodate his patients well with an early morning shuttle to the clinic, as well as a shuttle back after the procedure is over. I barely sleep because of nervousness. In the morning I use an antibacterial/disinfectant wash on my scalp called Hibiclens as suggested by Dr. Cooley, eat a simple breakfast of an apple and a muffin and take the shuttle over to the clinic. I arrived around 7:15. The clinic is located within a modern medical complex a few minutes away from the hotel. Check-in was very fast and easy - they let me choose what lunch I wanted from the local sandwich shop and pick 3 movies (I chose Crouching Tiger Hidden Dragon, one of the Cloverfield movies, and something else... these ended up being completely inconsequential). Dr. Cooley came in and took pre-op photos, discussed my goals, and drew on the outline for my new hairline. Dr. Cooley's demeanor was very friendly, but here I would say that the pre-op consult was quite rushed, taking less than 15 minutes or so. Dr. Cooley did not volunteer much information that outside of what was completely necessary for the procedure, for example, my hair/donor characteristics, my reserve for future procedures, etc. As I was pretty slide deprived and anxious at this point, I didn't get a chance to converse with the doctor as much as I would have liked. Regardless Dr. Cooley did seem completely present and was laser-focused on the procedure. I swallowed a bunch of pills, donned a gown and was escorted to the operating room. You'll have to excuse my vague level of detail for the procedure itself because the combination of pills and my exhaustion catching up with me hit me hard. I remember lying face down on the chair and hearing Dr. Cooley explain that he was going to begin excising the strip and that I may feel a pinch. I barely felt a thing and hardly noticed the strip being removed or even being stitched up afterwards. The techs went to work dissecting the strip into grafts and some indeterminate amount of time later, Dr. Cooley also made the slits on my hairline (I guess I also flipped over at some point). I had lunch before the afternoon implantation session. During implantation, the movies I selected also played but I was not awake for any of it. The only thing I remember is about 5 minutes of a fight scene from Crouching Tiger. That's it. I slept through literally everything else. I woke up around 5 and everything was done. Dr. Cooley wrapped my head up, went over my post-op instructions, and I took the shuttle back to the hotel. I was discharged around 5:30. Post-op: The week post-op was quite hard on me as I'm not good at sleeping sitting up. In addition, Dr. Cooley's instructions were to use a proprietary liposomal ATP spray every hour or other hour, I forget which. The combination made my sleep very poor. In fact, the night after the procedure, I pulled an all nighter - sitting up in my hotel bed, watching TV, and spraying my grafts as directed. I will say that for me, there was absolutely minimal pain and swelling during this period. The day after the procedure, I was shuttled back to the clinic for a post-op wash, exam, and instructions. Everything went well and they gave me some gentle copper-infused shampoo to wash my grafts with. I thought it was silly at first, but the stuff is actually fantastic. The following week was more poor sleep. I slept so badly (getting only 3 hours or so each night) that I was legitimately worried that I was stressing the survival of my grafts. I also washed the grafts daily, as per Dr. Cooley's instructions, with very gentle motions and indirect water. I continued using the spray as directed (after the first few days, you ease off the spray frequency, but are still asked to use it multiple times per day, sealing it with saran wrap and a surgical cap). Also, though not suggested by the Doctor, I took some supplements such as vitamins C, D, and Zinc. Due to the sleep issues, I was extremely grateful to be working from home during this period. There's not too much else to say about my post-op. As I was back in NYC, I had to go to a local clinic to have the stiches removed. When he was removing the stitches, the doctor remarked that he had done stitch removal for hair transplants before but had never seen one like mine before. He said that the fine gauge of the stitches used were much more like those used for facial plastic surgery and the stitching technique was excellent. Miscellaneous thoughts: Though I volunteered to allow Dr. Cooley to shave my recipient for the procedure, he refused and said it would not make the work much easier for his team. I insisted and he did end up shaving a small area on the temples for better visibility. Post-op though, I have to say, I was shocked by how indiscernible the hair transplant was. I was meeting people less than a month out of the procedure and NO ONE knew that anything was done. Chalk it up to the magic of no-shave procedures. Because we were at the height of the pandemic it would not have been a huge concern if I had to shave my head since no one would see me. If I had to appear at the office though, the no-shave procedure would have been a major benefit. I am about 7 months out from my procedure as of the time of writing and all I can say is that I am extremely satisfied and am tremendously grateful to Dr. Cooley and his fantastic team. I feel much more confident in my appearance and am genuinely having fun with my hair for the first time in years. Whereas previously I was hyper-conscious about sweeping my hair over my temples and cursing every gust of wind, I feel much more at peace now. I am happy with my results and I am optimistic that it can get even better in the coming months. Photos: I prefer to keep a minimal number of pictures of myself on the internet so here are my pre-op photos as well as my photos about 6 to 6.5 months out from the procedure. I have a few photos of the period between I can share if you are genuinely curious but only via private message. Ironically for a pre-op photo, the temples are a little flattering. Here it is in the worst possible lighting: Grafts implanted. Dr. Cooley implanted grafts in between my native hairs to thicken my existing hairline in addition to reconstructing the temples: 6.5 Months out: Thanks for reading my thread. If you have any questions feel free to reach out via the thread or private message.
  6. This 42-year-old man underwent a follicular unit transplantation (FUT) session with Dr. Carlos K. Wesley in which a total of 2201 grafts were placed. Aspects of our surgical approach can be viewed on our site’s Most Common Questions page. Three unique elements combined to help improve his experience: no-shave requirement for optimal discretion, enhanced graft storage measures, and rigid patient safety standards. As with all of Dr. Wesley’s patients, he was NOT required to cut his hair for the procedure. As a result, this patient was able to return comfortably to work and social activities within approximately 7-10 days of his procedure. The patient’s hair follicles were incubated in platelet rich plasma (PRP) throughout the duration of the procedure. This, combined with an ATP-containing storage solution has been shown to enhance survival of transplanted hairs. Finally, having his procedure performed in our office with the highest standards of COVID precautions helped ensure patient safety. Every patient of Dr. Wesley’s receives a rapid COVID test upon arrival to our office equipped with an ultraviolet air purification system. Measures such as reducing foot traffic by performing virtual consultations at no charge to patients, regular staff COVID testing and no-touch temperature checks of our team that avoids public transportation help preserve our clean and sanitary safe haven. Daily sterilization of the office coupled with the most rigid OR safety precautions further allay patient concerns in this sensitive time. The patient returned two years after his procedure and images of the patient can be seen below. This link illustrates the timing of hair growth after surgery. Similar patient hair transformations with Dr. Wesley and his team may also be viewed.
  7. I know it’s not ideal but at least Dr Wesley will do his upmost to rectify it as much as possible. FUE in to the area will definitely help. In a way Im glad it was Dr Wesley as another Dr/Clinic might not have done so well. I have been on the forum for about a decade and have seen all sorts of FUT scarring. I don’t think yours will end up noticeable. Especially after the FUE is done.
  8. Yes I agree if it’s an in-depth check then that sounds reasonable. Especially if they put that cost towards the actual price of the procedure. I guess I’m just in the mind set of my last visit to Dr. Bernstein who gave me a initial consultation to see if I was a candidate for HT. I don’t want to go to Dr Wesley and pay $500 just to be told that I’m not a candidate for HT. Also it doesn’t seem right for a doctor not to post on their website the actual price of the consultation. I had to research from others on different forums to get an idea of how much the consult is. I mean take ML488, he was quoted $400 earlier this year. Why is there a difference I price there? In 2012 Dr. Wesley posted his response to a person speaking about the consultation price. And Dr. Wesley says that he started charging $100 for his consultations and that it’s also reasonable to charge $200 and $250 for a ONE HOUR discussion. Which I agree with. But today I was told $500 for 45 minutes. It’s just the difference in price that’s what I find hard to take in.
  9. Suture issue aside, how do the grafts and transplant look to everyone? Density okay? Every time I see intraoperative photos from Wesley I was always impressed because it seemed like somehow a lot of the grafts never even had the initial red ring around them; they're just tiny bristles that blend into the skin. So there are actually a lot more hairs there than there are red spots, which kind of seems to be different from the impression I get of most post-op photos.
  10. So, we unfortunately ran into a little bit of a minor snafu with my procedure. I guess my scalp laxity was tighter in the middle portion of my donor than it was on the sides. So Dr. Wesley reached the middle suturing the strip back up, and the middle portion didn't quite reach back together in the usual way. So he had to use different sutures in that portion and there's a bit of a small gap that he says will likely result in a dime-sized bald spot/potential scar; he's offered to FUE hairs into that region free of charge in 6 months or so. A little disappointing to know I likely won't wind up with the pencil-thin scar you're supposed to in that region but I pretty much always have long enough hair (and intend to have long enough hair) that it hopefully won't be noticable, but at least he's offered to graft into that area to somewhat repair it. I also have to wear a heandband-shape bandage to allow that area to heal for a few extra days, and may need to have the sutures taken out in a two-step process rather than all on the same day. Has anyone here ran into this issue in with an FUT where the middle scalp laxity doesn't allow for normal suturing?
  11. Thanks for your review, Dr. Wesley is one of the best. Can’t wait to see your updates. I have no doubt you’re gonna look great in 12 months 🙌🏼
  12. Early stages following an follicular unit extraction (FUE) session with Dr. Carlos K. Wesley in which a total of 2505 grafts were placed can be seen in the accompanying slide. Returning to work or social activities following an FUE session often depends on the amount of pre-existing hair a patient has. Dr. Wesley DOES NOT require patients to shave their pre-existing hair atop their head for either FUE or FUT. So, with sufficient hair to conceal the transplanted grafts, patients can often return to work or social activities a week to 10 days after their procedure. Aspects of our surgical approach can be viewed on our site’s Most Common Questions page. Graft storage was optimized as hair follicles were incubated in autologous (his own) platelet rich plasma (PRP) throughout the duration of the procedure. This, combined with an ATP-containing storage solution has been shown to enhance survival of transplanted hairs. The patient returned one year after his procedure and images of the patient can be seen below. This link illustrates the timing of hair growth after surgery. Similar patient hair transformations with Dr. Wesley and his team may also be viewed.
  13. That’s fair, I can understand your concerns. Let me reach out to Dr. Wesley and find out why, I’m sure there’s a reasonable explanation. Also, if you’re indeed strongly considering him, the cost should be added to your overall cost. I will confirm that as well.
  14. So I just called Dr Wesley’s office to see if I could set up a consultation with him. The women I spoke to told me that the consultation fee was $500 for 45 minutes. Now is this correct? How does his fee go from 100-200 to $500? And for only 45 minutes too?
  15. Has anyone tried his topicals? What about the Follicle Pro Mix specifically? Curious if anyone here has been on it long enough to see results or if there are any sides.
  16. #BeforeAndAfterMondays This 33-year-old man underwent a follicular unit transplantation (FUT) session with Dr. Carlos K. Wesley in which a total of 2,811 grafts were placed. Three unique elements combined to help improve his experience: no-shave requirement for optimal discretion, enhanced graft storage measures, and rigid patient safety standards. As with all of Dr. Wesley’s patients, he was NOT required to cut his hair for the procedure. As a result, this patient was able to return comfortably to work and social activities within approximately 7-10 days of his procedure. The patient’s hair follicles were incubated in platelet rich plasma (PRP) throughout the duration of the procedure. This, combined with an ATP-containing storage solution has been shown to enhance survival of transplanted hairs. Finally, having his procedure performed in our office with the highest standards of COVID precautions helped ensure patient safety. Every patient of Dr. Wesley’s receives a rapid COVID test upon arrival to our office equipped with an ultraviolet air purification system. Measures such as reducing foot traffic by performing virtual consultations at no charge to patients, regular staff COVID testing and no-touch temperature checks of our team that avoids public transportation help preserve our clean and sanitary safe haven. Daily sterilization of the office coupled with the most rigid OR safety precautions further allay patient concerns in this sensitive time. The patient returned one year after his procedure and images of the patient can be seen below. This link illustrates the timing of hair growth after surgery. Similar patient hair transformations with Dr. Wesley and his team may also be viewed.
  17. #BeforeAndAfterMondays In order to repair a poorly-executed transplant performed by another surgeon, this 30-year-old man underwent a combination of two approaches with Dr. Carlos K. Wesley: 1) a follicular unit extraction (FUE) session in which a total of 2760 grafts (from both scalp and beard) were placed followed by a skin micro pigmentation (SMP) procedure to the donor area. Aspects of our surgical approach can be viewed on our site’s Most Common Questions page. Three elements combined to help improve his experience: graft harvest, graft storage, and patient safety. Rather than a larger FUE punch used by a robotic approach, Dr. Wesley used a smaller caliber hand-held motorized punch to performed the donor harvest. This approach better enabled the capture of donor intact hair roots that are slightly curved beneath the skin surface. Upon completion of the harvest, the patient’s donor area was treated with PRP and ACell in order to not only minimize scar tissue formation, but also encourage partial regeneration of donor hair follicles. Graft storage was optimized as hair follicles were incubated in autologous (his own) platelet rich plasma (PRP) throughout the duration of the procedure. This, combined with an ATP-containing storage solution has been shown to enhance survival of transplanted hairs. Finally, having his procedure performed in our office with the highest standards of COVID precautions helped ensure patient safety. Every patient of Dr. Wesley’s receives a rapid COVID test upon arrival to our office equipped with an ultraviolet air purification system. Measures such as reducing foot traffic by performing virtual consultations at no charge to patients, regular staff COVID testing and no-touch temperature checks of our team that avoids public transportation help preserve our clean and sanitary safe haven. Daily sterilization of the office coupled with the most rigid OR safety precautions further allay patient concerns in this sensitive time. The patient returned one year after his procedure and images of the patient can be seen below. This link illustrates the timing of hair growth after surgery. Similar patient hair transformations with Dr. Wesley and his team may also be viewed.
  18. This 32-year-old man underwent a follicular unit transplantation(FUT) session with Dr. Carlos K. Wesley in which a total of 2277 grafts were placed. The patient’s hair follicles were incubated in platelet rich plasma(PRP) throughout the duration of the procedure. This, combined with an ATP-containing storage solution has been shown to enhance survival of transplanted hairs. As with all of Dr. Wesley’s patients, he was NOT required to cut his hair for the procedure. As a result, this patient was able to return comfortably to work and social activities within approximately 7-10 days of his procedure. The patient returned one year after his procedure and images of the patient can be seen below. This link illustrates the timing of hair growth after surgery. Similar patient hair transformations with Dr. Wesley and his team may also be viewed.
  19. Drs recommended here who perform hair transplants without requiring the recipient area to be shaved include: Dr Robert Dorin (True & Dorin) Dr Robert Bernstein (Bernstein Medical) Dr Bernardino Arocha (Arocha Hair Restoration) Dr Carlos Wesley There may be others, but these are the ones I know of.
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