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  1. I have heard them described as "snowflakes;" I have heard them described as individualized "works" like paintings; regardless of how they are described, one thing is for certain: hairlines are not a "one size fits all" type of situation. All patients are different. Things like hair characteristics, facial structure/head shape, level of loss, and projected future loss all come into play when designing a hairline. Some situations call for a lighter, more broken-up and irregular "transition" hairline; in other situations, patients may benefit more from a stronger, denser, more symmetric hairline. No two hairline should be alike and a doctor should customize the design for each particular patient. And remember, just because a hairline looks good on another patient does not mean it is the right one for you. Today's case is an example of a specific hairline created for a specific patient. The patient is a male with darker, coarser hair, and seemingly more limited and stable loss for his age. He requested a strong, dense frontal hairline (he was happy with the corners), and I thought this made sense for him. In his situation, a more striking, strong, less irregular hairline made sense for him. I performed a hairline rebuild, a dense frontal band pack, and also a little bit of fill behind it using 2,400 grafts removed via the FUT technique. He returned at 6 and 12 months, and was very pleased with the direction we took for the hairline. Here are a few "teaser" shots of his 12 month results from the video: And here is his 12 month comb-through video, which features much more detail and also a look at his FUT incision line at 12 months: And here is his 6 month video for comparison: So I hope this helps explain that hairlines are not a "one size fits all" approach, and you must visit a clinic which will spend time creating a specific hairline for you and you alone. Make sure to see lots of examples of different hairlines from any clinics you are considering, and speak with the doctor about their hairline philosophy. Look forward to the discussion, Dr. Blake Bloxham Feller & Bloxham Medical, PC http://www.fellermedical.com
  2. Hello all, I finally bit the bullet. To give everyone a rundown I’m 39 years old this year. I live out of Austin, TX but I’m from closer to the Houston area. I started thinning when I was 18 and I tried everything to slow down the process, admittedly without a lot of knowledge back then. This was 1998 and I didn’t know much about propecia or minoxidil. I tried shampoos and all kinds of gimmicks. I did try propecia and minoxidil liquid but because I didn’t know enough about it and didn’t see immediate results I just stopped and got on with my life. It all started in my crown and then over the course of a decade marched its way forward toward my hairline. While my crown was very noticeably thin my hairline and frontal third stayed noticeably strong until my mid to semi late 20’s. At 24 I went and had my first consultation at a Bosley clinic in Houston and the whole experience made me feel uneasy. The doctor wasn’t really concerned with my crown which is where all the thinning was happening and wanted to lower my hairline which was still a teenage hairline. It was less than four fingers down on my forehead and still really thick. Ah, how I miss that wall of hair... lol. I politely passed but they called me every single day for two years straight trying to get me to come in for the transplant. They wanted to charge me 20K to lower my hairline and sprinkle some grafts in the crown. Knowing what I know now I think back about how they didn’t even bother to mention propecia to help slow loss. Bullet. Dodged. I got married in 2010 which ended really badly very soon after and my hair really started to go after that. Around 2012 I went to Dr Brad Limmer and got on Propecia/biotin/minoxidil foam to slow things down. Sadly he passed away the next year almost to the day of my consultation with him. I’m an actor and I was staying in Houston with a friend in 2014 while filming a movie in Louisiana when someone mentioned Dr. Arocha. I scheduled a consultation and we immediately got on very well. I loved his attitude, how much knowledge he wanted to share, that he was very honest about what we could achieve. I was traveling a lot though and it just wasn’t the right time to pull the trigger. While I traveled around the states for jobs I would schedule consultations with other doctors. I spoke with Feller and Bloxham, Gabel, Hasson and Wong, and others-some through email, FaceTime, in person. Ultimately it came down to me feeling the most comfortable with Arocha although Gabel was pretty close. I’m a diffused thinner and if my father and maternal grandfather are any indication I’m going to end up a 6 on the Norwood’s scale. I was going to go ahead with the procedure last year but my wife (I got married again in 2017) and I found out we were pregnant with twins so I decided to wait until things settled down with them. Side note: I did not stop taking finasteride when we found out we were pregnant and our babies our beautiful and healthy and at the time of this post almost 6 months old. The Big Day! I got to Arocha’s office a little after 7:30 am (traffic in Houston sucks) I signed the paperwork. We took some preop pics. Dr Arocha designed the hairline basically within my existing one. The plan was to work through the existing hairline, fill in the temple corner recession, and bulk up the frontal forelock. We discussed what we would do next year, reassess the front or go ahead and work on the crown. Everybody was really nice. I was visibly nervous and my blood pressure was a little high due to my being a little antsy. The Valium quickly helped out with that. When they were injecting the numbing solution into the back of my scalp I noticed I started shaking and feeling queasy so I spoke up immediately. They turned me over and raised my legs and put ice on my chest. I almost immediately felt better. Dr Arocha was there and cracked a joke about how I was his first patient of the day but probably his 7000th patient altogether so there was really nothing to worry about. TBH I wasn’t nervous about his ability to help me as much as I was just nervous about this giant step I was taking. After this procedure there was no going back. I turned back over when I was ready and they took the strip out. They kept complementing me on how good my donor was however I never got a number from them. I asked but they were just like, “don’t worry, it’s really really good.” I believe I heard say as they were looking at it that it looked like 80 to 90. Dr Arocha started to make the incisions and we talked for awhile before I dozed off and the next thing I know is I’m waking up to salmon kabobs, a killer salad, and potato and black bean soup. I eat up and then I go back to the chair where the techs start to insert the grafts. We chat for quite awhile. Dr Arocha was there for quite a bit of it as he would interject in our conversations. Every once in a while he would remind them about this or that concerning my grafts. I dozed off again and when I woke up we were basically done. They informed me that while I was out they put PRP all over my head. They went over cleaning instructions and we took some post op pics. My wife came in to pick me up and everyone came out to meet our twins. After that we were off and back to Austin. The ride back was pretty rough. There was a lot of pressure in my head and I got a pretty bad headache. Even with the pain pills. It didn’t even last the entire three hour drive though. I’m attaching some pics. Some preop through day two. I don’t have any pics with the design yet. I’m going to speak to Arocha’s office and see if I can get my hands on the hairline design.
  3. It is simply a fact that FUT is still more popular than FUE...by far. In the Tom Hanks movie Apollo 13 Jim Lovell's wife asks why her husband's flight to the moon was not being televised live. The answer that was offered was that NASA "made going to the moon seem like a trip to Pittsburgh ". The same goes for FUT. The success and popularity of FUT has been so well established and proven over the past 20 years that it is taken for granted. There is no excitement in viewing the results of an FUT patient because we have already seen, literally, thousands of them online. Sure, there are variations from doctor to doctor, but by and large the results are predictably good. FUE SEEMS like the "next step", but it has been around for 14 years and it's safe to say that it has failed to launch. What has happened is that the pool of wishful thinkers and uninformed patients has grown and there has been no shortage of clinics willing to service these patients. So the number of patients has grown and thus the number of results online. But if you compare the ratio of successful to unsuccessful procedures FUT wins hands down. And this is for predictable reasons. FUE suffers from three detrimental forces that no doctor, clinic, or innovator has yet to overcome: Compression, Torsion, and Traction. You can add Skeletonization to that list as well. FUT does not suffer from these forces. This illusion of popularity is sparked by the interest of a FEW posters on websites like this one. But it is the very nature of this interest that betrays the weakness of FUE. We are all captivated by the man who walks along a tightrope a hundred stories off the ground. "Will he fall?" Same thing with FUE, but in this case it's "will it grow?" And if it grows "will it be as good as strip"? For all the distortion surrounding FUE one line has not been crossed, and that's the claim that FUE actually grows better than Strip surgery. Thankfully, that hasn't happened...yet. The best FUE can claim is that it grows AS WELL AS STRIP. So why not just get strip?! I'm in the business 20 years and that's what I did. You think I would pick an inferior procedure? Vehement FUE supporters, all of them lay non-doctors, say that FUE has improved over the past 14 years. This is simply NOT TRUE. It is wishful thinking. Nothing about the procedure has changed except for the hype and the number of clinics offering it because patients engage in either wishful thinking or are simply uninformed. NOT A SINGLE FUE DOCTOR HAS COME ONLINE ANYWHERE THAT HAS MADE A CLAIM THAT THEY USE NEW TECHNOLOGY. Only lay, non doctor, unaccountable FUE chest beaters who post anonymously have made this claim. Recently a poster on here made such a claim and I offered to host a three way call between him, me, and the doctor he said made the claim- and then post the call online. He did not take me up on the offer. Instead he made a limp-wristed attack on me and then disappeared. Nothing has changed in the world of FUE. A punch is used to score around a graft causing torsional damage. The graft is then grasped with a forceps causing compression damage, and then finally it is literally RIPPED out of the scalp causing traction damage. Sure, there are new machines to assist in taking out the grafts, but they either cause more damage doing it, or they only mimic (poorly) what an experienced FUE practitioner can do. I won't even go into the ridiculous extra costs these "technologies" involve. FUE has it's place, and in some cases it even has a place in megasessions. But I state without reserve that ANY time you see an FUE result, no matter how good or bad it looks, that same patient would have looked BETTER if he had a strip procedure. Furthermore his prospects for future surgery would be better and his donor area could be used more efficiently. FUE is the "have your cake and eat it to" procedure. And in some cases this may be the case. Such as in the hands of very dedicated and very experienced physician practitioners who carefully screen their patients. However, just scanning this website's chat forums alone I have seen more negative postings from patients who actually underwent FUE than I do positive ones, and precious few posts that involve actual FUE results from patients themselves. What you really see are posts by enthusiastic hopeful patients right after FUE surgery but no actual results posted- even years later. What happened to these FUE patients? While the same thing does happen with FUT from time to time, FUT already enjoys thousands of online megasession before/after photos, whereas FUE hasn't even made it to more than a hundred to two hundred yet...and that's after 14 years! If every doctor who performed a hair transplant surgery tomorrow were to check in on this forum and tell us what HT surgery they performed on that particular day you would find 99.9% would be FUT, not FUE. But you would not know that by reading forums because FUT is old news and unexciting. How many before/after pictures of a 2500 graft case can you look at before you become bored? And it is this very reality that demonstrates the reliability and strength of this procedure. FUE has it's place, but NOT first place, and it never will. Dr. Alan Feller
  4. While planning a procedure, patients frequently ask if we can "close the corners." What they mean by this is whether or not is is appropriate and possible to close in the angles in the fronto-temporal corners and rebuild some of the temple region. Working in these regions often results in a very aesthetically pleasing result. A frontal rebuild including these regions is a little more aggressive and often recreates a nice balance. And while a lot of patients request work in these areas, it is important to note that it is not for everyone. It takes a specific hair loss pattern, hair type, and the right clinic to pull this off. Those with thick, coarse donor hair (even the singles), a stark contrast between the hair and skin color, and those with advanced or uncertain hair loss should likely not transplant in these areas. As tempting as it may be, it may not look correct and grafts may be better used elsewhere. In the right patient, however, the results can be great. The patient in today's case is a male in his early 40's with moderate frontal thinning but somewhat significant thinning in the "corner" regions. He really wanted to address these areas, and based on his hair loss pattern, history, and hair/skin type, I thought he would be a good candidate for him. We utilized 2,500 grafts to densely rebuild the superior portions of both temple triangles, the anterior portion of the parietal "humps" (the vertical portion running from the temporal triangles to the fronto-temporal corners), close the frontal temporal-corners, and pack the entire frontal band. The patient returned only 6 months later and was very pleased with the results (as were we). The decision to "close the corners" was a good one for him, and I believe we achieved the desired balance in the frontal region by closing in and rebuilding these areas. Here are a few select "teaser" images showcasing the result (both wet and dry). Attached are more before and after comparisons (both wet and dry), and below is the detailed comb-through video. As usual, I highly recommend that all patients watch the video. Video is the most honest way to display a transplant result, and it is what you as a prospective patient should look for. Look forward to the discussion. Dr. Blake Bloxham Feller & Bloxham Medical, PC www.fellermedical.com
  5. Hi Folks, Long time lurker; My very first post here with the intent to share and contribute based on my upcoming surgery in India with Darling buds and most importantly “ My results “ in the next few months. I feel morally obligated to contribute at least something back to this community that offers : A worldwide network of HT experts, reputed Senior members sharing invaluable info, Top rated HT surgeons positioning their point of views and most importantly "real patients sharing real stories". Background Male in mid-thirties from Canada; NW 3 - Less/More. Past 6 years were dark and depressing. Living in a fool’s paradise; using Toppik daily assuming everything’s fine but somewhere at a deeper level; it continuously bothered me. Finally in 2019; I made the big decision to get a HT. This website is the main reason as to why I was able to solidify on my research, move ahead with a concrete decision and was able to find one of the best doctor (just being positive here) as per my checklist/strict criteria. Special thanks to the Creator of this website – Kudos to the brain that kicked off this humanitarian initiative as it continues to educate millions of potential patients like myself. Why Darling Buds India (I guess they changed the name to 5 Rivers Hospital ) This piece takes forever to decide especially for someone like me who spends gazillions of hours on the Internet/YouTube/Forums. I was always skeptical about giving my Head to someone to be operated; so consulted with many Canadian, American, European, Indian and Turkish clinics. Many reputed names like Dr. Rahal ( Known as the hairline king from Canada), Dr Acar ( Cosmedica Turkey), Dr. Erdogan ( Turkey), Aestimed ( Turkey), LA Hair ( USA), Qunomedical ( Belgium & German clinics), Dr. Cinik ( Turkey) and the list goes on……………………………………………. but None fitted my checklist in it's entirety reflecting 8 Key deciding factors that was prepared after extensive research for years 🙄 : 1. Max cost under 10,000 CAD ( 7500 USD ) for 3500-4000 Grafts to be able to achieve maximum density in my case. YES, I decided to find the best treatment within this range. IMHO, paying this much should suffice in getting you a world class, still affordable HT in today’s age with advanced Technologies, Globalization, the power of internet and competitive market. It's costing me around 9000 CAD ( including some expensive flight tickets) with Dr. Bhatti which seems adequate for the reputation he has or rather a steal ( not sure - will tell later) If budget wasn’t a constraint, I would’ve booked Dr. Rahal ( Canada ) who is local to me OR Dr. Baubac ( Alvi Armani USA) more importantly to save myself from the hassle of flying 20 hours one way, then drive to a different city, book a hotel for a week, apply for a visa, Take few weeks of vacation from work etc. Dr Rahal charges 8 CAD per FUE, most other clinics would cost the same in N. America for FUE Treatment. It’s costing me around 2.40 CAD with Dr. Bhatti ( includes all international/ Local flights, Visa, Hotel, Food, Cab etc.). If you compare Dr Bhatti's fee with his peers who fall in the same reputed arena of global doctors, I think most would sign this off as a great offering for hair loss patients globally. Eugenix quoted around 4 CAD per graft but it was for DHI method. They produced some great results lately and they are the inventors of DHI which is now adapted globally; goes to show that they are researchers also - very impressive. As of 2019, I think Dr. Bhatti and Eugenix should be compared as top players if India is the selected destination for your HT Journey ( My comparison below) I almost finalized Eugenix over Dr. Bhatti but then based on my research, took a U Turn : Eugenix positive aspects: 1. Biggest is DHI - OUT/IN grafts within minutes. Definitely better method as compared to Traditional FUE . I could only find positives so far, no negatives on DHI. It's hard to logically beat DHI method with traditional FUE; so no doctor should even try it IMO. I wish Dr Bhatti would offer DHI to his patients by now ☹ 2. Clinics are located in major cities like Delhi and Mumbai. No need to drive / fly again from major airport all the way to Chandigarh. Eugenix Negative aspects: 1. Some patients mentioned that they were taken for a ride. Eugenix Docs prey on foreign nationals; after or during mid surgery – Dr. Bansal asked for 500 more grafts payment as required and payment must be done during the middle of the operation ( insane); also no breakdown/reasoning was provided in the end. On the contrary, Darling buds has returned some fee to few patients to their surprise which is a classy act of ethical business in my opinion (hard to find) 2. Eugenix costs are almost double than Darling buds( quite expensive for many) but anyways DHI is more costlier than traditional FUE globally and if results are better with more graft survival rate, most patients wouldn't mind paying more. 3. Eugenix is run in a satellite office format, more than one location and hard to get a hold of prime doctors - Dr. Sethi and Dr. Bansal where as Dr. Bhatti provides a peace of mind with one location, one clinic, one doctor who is also the owner of that entire facility with 15 good staff members well trained under him in a peaceful non polluted city near a hill station. #3 was a critical factor in my decision to go with Dr. Bhatti In short, I would’ve loved DHI for best results but I settled with FUE for now Note: Out of thousands, This site recommends ONLY 2 surgeons from Turkey, 7 surgeons from India and 1 from Canada ( I was surprised to see only Dr. Rahal in the list, yes Hasson is there but they're again advocates of FUT ), so HRN really helped me short list 10 surgeons before making the final call 2. ONLY FUE for ME – My heart said a Big “No“ to a linear scar; doesn’t matter if some Doctors persuade you with somewhat genuine reasoning's to avoid FUE such as : FUE provides Less density, FUT offers more grafts and saves Donor area as untouched for future sessions, FUE is a blind process etc. Dr. Feller and Dr. Soni ( Medispa India) seems like the two biggest advocates of FUT over FUE and I agree with some of their explanations as it sounds logical. Dr. Soni really pushed me to sign up with FUT and said his scar technique is different. Promised that he will close it in a way where almost no scarring is visible . It was tough buying into that argument, additionally recent negative reviews about him and I finally decided to brush him aside at that point. 3. Doctor MUST perform the operation (No technicians) – I could only find someone as reputed as Dr. Bhatti who performs 80% of the procedures that includes Hair trimming (to feel your hair ), Anesthesia, FUE Extractions with motorized punch and Incisions. In Turkey where I was almost sold at one point, all operations are run by Technicians. Not a Plastic surgeon, no educational background/ competency level ( it's scary as they're known as the butchers of HT industry) I wish Dr. Bhatti would implant the grafts too ( not his nurses) for extra cost but I guess it will be a tedious job for a busy surgeon to sit for another 4 hours or so ....... Am I asking for too much 4. World class facility matching North American standards : with Heart rate monitoring, proper blood tests, blood pressure check up, spotless , Face coverings during entire operation and sterile environment. 5. Super microscopes and Magnifiers is a must ( Most Turkish clinics operate with naked eyes, when I asked they tried to sell me bull *&**** ) This is extremely important during all 4 phases of operation : Extraction – To make sure proper gaps are left in between grafts in the donor area and get the right angle before using the punch. Sorting – To count how many pure singles, doubles, triples and quads ( if any ) are collected. Incisions – To ensure least collateral damage, magnifier will show 6 x scalp surface so during incisions, holes are made at the right angle, depth and only on bald scalp areas ( not where you've some fine hairs). This should also minimize some shock loss in the post op phase. Implantation - Imperative to only use pure singles / baby soft hairs in the very first few rows of hairline and Temples. If by mistake, they implant doubles – it will give a pluggy look and I would rate that transplant as 50% failed right then and there. If during implant, nurses grab a multi - haired graft, at least microscopes will allow them to revisit to find a pure single graft and then insert it in the right spot. Joe Tillman's video is quite helpful : https://www.youtube.com/watch?v=MeQ4ZvEHb7Y 6. Doctor should have a solid reputation on major forums, hair restoration network, should be well read, traveled, have some global exposure, recommended by Bald-truth, Spex and many other HT mentors like Joe Tillman. Dr. Bhatti checks all those boxes. Yes – there are some mixed opinions about him (and every other Top HT surgeon out there) but perfection is impossible to achieve; so I decided to just look at the bigger picture and go for it. 7. Detailed info, pre op care, post op care, regular contacts and supporting your patients in their hours of greatest needs is of utmost importance. Its well know that Dr. Bhatti, Shera ( his rep) , California would contact their ex. Patients regarding some concerns, would stand by them and not disappear. This was impressive. 8. Patient advisor should be genuine, honest and straightforward – So far, Shera has been awesome, friendly and taking care of all my minor/ major concerns. Always reachable, quick responses and a real time patient who has experienced the same Doctor few years ago first hand. In the long run, it helps to have a contact like him for small chats if need be. I will continue to share my Journey with Darling buds and also, highlight If any red flags are there. So far, I’m just one naive internet researcher in this field who talks based on theories and hypothetical situations, I don’t have any practical experiences yet. Assuming I've made a good decision by choosing this clinic (over others) and trying to keep a positive mindset hoping I will be in good hands is the only thing I can do now. One Sr. Member said it wisely – “For Dr. Bhatti and his staff ( or other clinics) 18th March will be just another day with another patient like thousands came before and will come after, but for a patient who’s been researching on this constantly day/night, it’s a big life event and 18th is one of the most important day of his life after which either he could regain his lost confidence or could loose it forever “ After all, handing off your head to someone for the entire day isn’t one easy decision I’ve seen members here supporting each other against doctors if results aren’t satisfactory. That speaks volumes and the main reason as to why I joined here to gain support from my so called “Anonymous hair restoration family” Dr. Bhatti's hairlines were talked about – not too dense? Any suggestions? Should I revisit this with him ? I don't want a sparse hairline but Not sure if this was an old issue (one -off) Also, I’ve not met Dr Bhatti for any F2F consulting yet or a video consultation, plan is to meet him a day before my procedure. So far, Shera is my driving force. I’m hoping for a life changing experience (like many others), regain my lost confidence and I always say “ Hope “ is something that brings us to these Doctor’s doorsteps. Yes finance and reviews are important aspects but we all hope to be treated in the best possible way during our special treatment day. A little daunting for me to fly all the way, get operated in a surgical room, holes in my head but I’m collecting all the courage in this world to get this done. Shera is helping like one true Samaritan If some of you are able to read this completely, my apologies for such a long note but this is the only forum where I am able to write everything anonymously and vent out if need be. My Journey to be continued……………………………………………………………………………………............................................
  6. LOS ANGELES, California (Reuters) -- Think you've seen it all when it comes to cosmetic surgery? Look more closely. Eyelash transplant surgery wants to become the new must-have procedure for women -- and the occasional man -- convinced that beauty is not so much in the eye of the beholder as in front of the eye itself. Using procedures pioneered by the hair loss industry for balding men, surgeons are using "plug and sew" techniques to give women long, sweeping lashes once achieved only by glued on extensions and thick lashings of mascara. And just like human hair -- for that is the origin -- these lashes just keep on growing. "Longer, thicker lashes are a ubiquitous sign of beauty. Eyelash transplantation does for the eyes what breast augmentation does for the figure," said Dr Alan Bauman, a leading proponent of eyelash transplants. "This is a brand new procedure for the general public (and) it is going to explode," Bauman told Reuters during what was billed as the world's first live eyelash surgery workshop for about 40 surgeons from around the world. Under the procedure, a small incision is made at the back of the scalp to remove 30 or 40 hair follicles which are carefully sewn one by one onto the patient's eyelids. Only light sedation and local anesthetics are used and the cost is around $3,000 an eye. The technique was first confined to patients who had suffered burns or congenital malformations of the eye. But word spread and about 80 percent are now done for cosmetic reasons. For many women, eyelash surgery is simply an extra item on the vast nip-tuck menu that has lost its old taboos. More than 10 million cosmetic procedures -- from tummy tucks to botox -- were performed in the United States in 2005, according to the American Society of Plastic Surgeons. The figure represents a 38 percent increase over the year 2000. Erica Lynn, 27, a Florida model with long auburn hair, breast implants and a nose job, had eyelash transplants three years ago because she was fed up with wearing extensions on her sandy-colored lashes. "When I found out about it, I just had to have it done. Everyone I mention it to wants it. I think eyelashes are awesome. You can never have enough of them," Lynn said. Bauman, who practices in Florida, does about three or four a month. Dr. Sara Wasserbauer, a Northern California hair restoration surgeon, says she has been inundated by requests. "I have been getting a ton of eyelash inquiries ... If I had $10 for every consultation, I'd be a rich woman." The surgery is not for everyone. The transplanted eyelashes grow just like head hair and need to be trimmed regularly and sometimes curled. Very curly head hair makes for eyelashes with too much kink.
  7. I have been corresponding with dr bloxham by email. I was surprised with how fast I got responses from him. Great guy and i am very appreciative that he took the time to reply. Through email, we agreed on 1500 grafts using mfue I believe it is called. So instead of having a huge fut strip scar, I'd have 4 to 6 small 2 cm donor areas in different spots in my head. I am just curious to hear from others who have chosen dr. Bloxham before I book a appt. I started losing my hair since my mid 20s. Started using minoxidil at 26 and finasteride at 32. I am 41 now with pretty much only hairline issues. Just wanted to make this post and hear from others who have had this procedure done or who have used dr. Bloxham. He is my top choice to do this now that feller seems to no longer do it. He did a ht on a guy I met who had it done 10 years ago and it turned out very well. Anyways..hope to hear responses so I can book the appt. I dont think I ever had to make a harder decision in my life. It is a lot if money and scars can prevent a shaved head if I am one of the unlucky ones who doesnt have a result.
  8. he's been a part of this community as far back as I can remember, maybe when he was in medical school and certainly before he agreed to join forces with Dr. Feller - Dr. Feller, who I highly respect, called him a hair "nerd", which is to say the man knows his stuff -
  9. The patient in today's case is a young man in his 20's who initially presented to us with a pretty reasonable request: he wanted to grow his hair long again. He did not want his hairline lowered, he did not want his corners rebuilt, he just wanted to get away from constantly shaving his head like he had been doing since his hair loss became "bad." When the patient first noticed his hair loss, he tried to keep his normal, long hair healthy by taking Propecia. Unfortunately, he suffered side effects and had to stop. As his hair continued to "miniaturize" it grew shorter and shorter, and he eventually resorted to simply "buzzing" his head -- something he was not a fan of. He came to us restore the ability to grow his hair long. He reported always having a "higher" hairline, and he wanted to keep this. We used the remnants of his existing hairline -- starting behind these to take advantage of their irregular and soft nature -- to rebuild the hairline and pack back through the mid-scalp. He was okay to not address the crown/vertex at this point because he believed it was still strong enough to grow longer and blend with the transplants. We saw him again a year later and he was very pleased to have achieved his goal. Because we started as an FUT he still has plenty of donor left to address the crown in the future (which he likely will want to do), and he can always go a little more "aggressive" in the front once the top is completely stabilized -- though I will admit that I really like the longevity of a conservative front. Here are a few "teaser" images from the video. I only include these because I really encourage patients, especially young patients, to watch the detailed comb-through video. "Teaser" Images: HD Video: Look forward to the discussion. Dr. Blake Bloxham Feller & Bloxham Medical, PC www.fellermedical.com
  10. Hi all! On may 16th I had the blessing of being operated on by Dr.Bloxham Dealing with two procedures in which the density was very poor had me very hurt and felt like I lost hope. Dr. Bloxham was very understanding and in a genuine matter made it seem like he was on a mission to help me! This is my third procedure I will document my journey to help others! Dont lose hope. I'm really hoping 1216 grafts is enough for that very dense front and decent sides that I have been trying to get Overall as a young guy these procedures took a huge toll on me financially, since I've been basically on my own since I was 18 and have very little relationship with family. I'm hoping this is the last speed bump and I can move forward confidently. Pictures: 1st - no procedures 2nd - no procedures 3rd - Final result FIRST procedure (temples were still extremely weak just didn't have a pic of that side so it's looks decent but it's not) 4th - 7-8 months result of SECOND procedure 5th 7-8 months SECOND procedure temples 6th - day of surgery Third Procedure 7th - day of surgery Third Procedure
  11. Hi Everyone, Today I wanted to share another 2,500 graft FUT case. The patient is a Spanish male in his late 30's with pretty advanced and diffuse hair loss. He has been on finasteride for 5 years but continued to see a steady progression of loss. He came to us with the goal of densely rebuilding the frontal half of the scalp and strategically working into the mid-scalp. He plans to do another procedure to address the back up the road, but the front was the priority and he believed he could "manage" the back much better with transplants in the middle and front (and I think the way he is styling his hair as viewed in the "top down" shot shows that this worked quite well). We tackled this using 2,500 grafts via the FUT technique; he came back for a follow-up 12 months later and was very pleased with the results -- as were we. Below are some before and after comparisons and a video. As usual, I recommend that everyone watch the detailed video which features comb-through (wet and dry) footage of the result and his incision line (strip scar) at 12 months post-op. Look forward to the discussion. Dr. Blake Bloxham Feller & Bloxham Medical, PC
  12. Today I wanted to present what is likely our most common and most "classic" case: the 2,500 graft -- or 2,600 graft in this instance -- FUT case. While we see patients with all types of hair loss, it seems like the most common are males with advanced -- or advancing -- hair loss, and we typically say they will likely want to do two procedures over time: a 2,500-ish graft FUT mega-session now for the hairline, frontal scalp and transition into the mid-scalp; and another 2,500-ish graft FUT mega-session later to finish the mid-scalp and address the crown. Doing two large FUTs tends to, in my opinion, provide good coverage from "front to back" and leave patients in the best situation for the long-term. They should have a good incision line scar and plenty of grafts left for more potential work (done via FUT or FUE) if needed. So here is one of those "classic cases:" Male physician in his late 20's headed to a NW V-VI pattern; we recommended two planned FUT procedures of approximately 2,500 grafts a piece; he did the first (hairline, frontal scalp, and mid-scalp transition) in winter of 2017, and the second (finished the mid-scalp and crown) in winter of 2018. Here are a few comparison pictures of his 10 month results from the first procedure. As usual, I highly encourage all to watch the video. Video is the ULTIMATE way to present a hair transplant result. This video includes the result, detailed comb-through (HD), and footage of the incision line (FUT scar). Photos: Video: Thank you for reading and commenting. Dr. Blake Bloxham Feller & Bloxham Medical, PC (www.fellermedical.com)
  13. All individuals experience hair loss differently. We frequently see patients with small changes or confined areas of thinning who almost feel guilty coming in to see a hair transplant doctor because their friends, partners, and family continually tell them that the hair loss is "nothing" and they should just "forget about it and move on." However, it is a big deal to these patients and the psychological stress and distraction from the hair loss often prevents them from focusing on bigger, better things. The patient in today's presentation falls into this category; he is a male who, most outsiders would probably agree, had quite "good hair" in general. I do not think the average person on the street would ever think he was thinning. However, he came from a long family of males with "perfect" hair, and, although his hair was still "good," his hair was simply not as "good" as it used to be. He had some pretty classic thinning throughout the entire frontal band, and really just wanted to thicken it. Long story short: despite the minimal amount of hair loss he had, this was bothering him and he was ready to take care of it. I discussed the reality of the situation with him thoroughly and I did believe he could "beef up" that area, and I also felt confident that it was unlikely (though not certain) he would progress to advanced hair loss. Regardless, we decided to start him off as an FUT to hedge our bets and leave his donor in good shape in case he did need a significant amount in the future. We ended up utilizing 2,100 grafts to place his hairline back where it originally was (frontal hairline only, no temporal hairline work needed) and densely pack the frontal band. He visited us 6 months later, and I was very pleased to see that the worry and distraction his hair loss caused him had vanished. Here are a few "comparison" shots of his case. Below is a detailed comb-through video which includes footage of his incision line. I highly recommend all interested patients watch the video. Remember, hair loss is about identity; if you feel off, distracted, or stressed by any changes in the scalp, it is okay to see a hair restoration doctor and discuss your options. There is nothing wrong with taking care of this, despite how some may make you feel. Thanks for reading and watching. Dr. Blake Bloxham Feller & Bloxham Medical, PC
  14. One of the more debated topics on the forum is whether or not "young" patients should undergo hair transplant surgery. The controversy revolves around the fact that these patients are very early in the hair loss process and have an unpredictable future ahead. Using too many grafts now or starting with an "aggressive" plan may set a patient up for a lifetime of multiple surgeries or deplete donor resources before acceptable coverage can be achieved. There is also controversy surrounding the donor area in young patients: Will it thin aggressively and end up only providing a small "strip" of safe donor in the future? Are grafts taken from the "expanded" donor area in a young patient actually safe or will these thin in the future? For these, and other, reasons, many hair transplant doctors do not like to perform hair transplants on "young" patients. While cutoffs vary, many do not like to take patients under the age of 25 and others want to wait until their hair loss pattern has really revealed itself -- which can often take decades. My philosophy on young patients is a little different. I frequently perform hair transplantation on appropriate "young" patients as long as a few absolute "musts" are understood and accepted by the patient. If the patient is mature thinking and accepts the "long term" reality of hair transplantation at a young age and the potential for future surgeries up the road, I feel like they do quite well. In order to successfully undergo hair transplantation at a young age, I feel a patient must acknowledge and really feel comfortable accepting the following: 1) We must start conservative with the hairline. Many young patients remember a very low, flat, immature hairline from only a few years prior. And sometimes it is hard to get them to understand that this is not advisable. If a young patient insists on rebuilding an immature hairline, I do not think they should have a hair transplant. However, if the patient understands that hair transplants are permanent and the hairline must "age well;" if they understand that starting conservative now will allow us to get coverage from front to back as they continue to thin and we can go lower later once things cool off and the majority of the scalp has been treated with hair transplants; and if they understand that the lower we go now, the more grafts we use in the front that we now cannot use in other areas, then I think they are good candidates. 2) We must start with FUT Not to stoke the flames here at all, but I insist on starting all young patients as FUT. Not only is this the only way to truly maximize the amount of donor grafts available over a lifetime, but it is also the only way to really take continuously from the small true safe donor area (SDA) zone. We never know how these patients may thin up the road, and grafts taken from even slightly outside the safest part of the donor area may be susceptible to hair loss and fall out in the future. We need to maximize donor potential and only work where we absolutely know it is safe until these patients are older. Then we can usually augment with FUE. 3) The patient must accept that he will very likely want/require more procedures up the road Androgenic alopecia is a progressive process and while hair transplants do thicken and restore thinned areas, the procedure does not treat the progressive hair loss. Patients who are thin enough to seek hair transplantation at a young age will likely continue to thin in the future. With a hair transplant plan "started" in one area, the patient will likely want more. We never design anything that would absolutely require a patient to have more surgery up the road, but chances are that you will want to address additional thinning regions at a later date. The patient needs to accept that this is likely not a "one and done" deal. 4) We really should (maybe not "must") start in the front and work back The frontal third (hairline, frontal scalp, and slight transition into the mid-scalp) is the most visible region of the scalp. It also is responsible for re-framing the face and really creating the appearance of thick, full hair from the perspective of how most of the world sees you (IE "front on" or from the sides). Furthermore, if this region is done properly the rest of the scalp can thin and still look natural. For these reasons, we really should address this area first in young guys. Many times younger patients are focused on the "bald spot" in the back, but starting in the front and working back if and when necessary creates the greatest cosmetic impact and prevents creating anything that may look unnatural up the road. To better demonstrate this philosophy, I want to share a case: The patient in this video is a young guy in his early 20's; he's in that transition between college and the rest of his life. He has aggressive thinning for his age and is likely to become a NW VI up the road. I discussed all of the above with him and he completely agreed and wanted to move forward. We did a 3,000 graft FUT and everything went very well. I saw him back at 6 and 12 months. The first video features an explanation of how I approach young patients (similar to what I wrote above) and a detailed 6 month result video. The second video is an update at 12 months. 6 month results: 12 month results: As a final note: I do think all young patients considering hair transplant should do their research carefully. If you do it as out outlined above, I think you will be happy for many years to come; however, there are some potential "pitfalls" for younger patients. So do your research, ask your questions, and remember to start conservative and keep the long-term in mind. Hope everyone enjoyed the presentation. Look forward to the discussion. Dr. Blake Bloxham Feller & Bloxham Medical, PC
  15. It may be unsurprising to many long-time readers of the forum, but one of the most popular topics right now seems to revolve around FUT versus FUE. However, this topic is not an "FUE vs. FUT" debate, but is a very good question revolving around which technique a patient should start with and the best way to utilize both. Specifically, in patients looking to maximize donor potential and future surgeries, which technique should be used first: FUT or FUE? As many may know, I am an advocate of clinics who can offer and regularly perform both, and I typically advise patients who have uncertain or advanced levels of hair loss and may want multiple procedures to start with FUT. Because I am a "fan" of this approach, I wanted to share a presentation of a patient who went this route. The patient first presented to the clinic with classic frontal hair loss several years ago. He wanted to "test the waters" a bit with hair transplantation, so I did a very conservative frontal band procedure via FUT. He did very well and after seeing that hair transplant surgery really works, he decided to "dive in" and undergo a more aggressive hairline lowering and dense pack frontal band procedure. I did this via FUT as well. After two strip surgeries he was fairly confident with the scalp in general except for a small spot in the crown -- which had been static for years -- that he wanted to address. This procedure only required 500 - 800 grafts and he decided that since the bulk of the work was done via FUT and he was happy with the incision line (which was still very good after two harvests), he wanted to now switch to FUE. Because we started with FUT, I was happy to do a conservative pass via FUE and address the crown. Here are a few "before and after" comparisons after the two strip procedures: And here is a very thorough walk-through video I encourage all those wondering which technique they should start with to watch. Not only does the video include comb-through of the results, it also features a discussion about the approach, video of his incision line after FUT #1 and FUT #2, video of me performing the FUE procedure, and a post-op of the FUE crown surgery. Also, as a little "bonus" here: I have included video from his 6 month visit, just in case any members need reassurance that results do change from the 6 to 12 month mark: Thank you for watching. I hope this sparks some good discussion and I look forward to the conversation. Dr. Blake Bloxham Feller & Bloxham Medical, PC
  16. Hi Everyone, I wanted to share a good example of the way I like to showcase hair transplant results: HD video footage with "slick" wet hair. The reason I like this is because there is simply no way to fake it; it is a brutally honest representation of what can be achieved with modern hair transplant surgery. This type of presentation gives the prospective patient a very clear example of how they may look in 6-12 months, and allows them to make an informed decision as to whether or not they would be happy with a hair transplant. The patient in this video is male with classic androgenic alopecia (genetic male pattern hair loss) exhibiting a Norwood IV pattern. He takes no hair loss medications. We evaluated the patient and decided to recreate an age-appropriate hairline, perform a dense pack of the frontal scalp, and strategically work into his mid-scalp with 2,500 grafts using the FUT technique. The video shows his pre-operative appearance, the surgical plan, intra-op. and post-op. photos, a comb-through of his 6 month results, a comb-through of his incision line scar at 6 months, and a few "before and after" comparison shots. I am only going to share a few "teaser" images here, because I really encourage watching the video itself: Thank you for watching. I hope you enjoyed. Dr. Blake Bloxham
  17. Dev, While it is unfortunate you had to stop the preventive medication, I do not think you are in bad shape here. The approach you took with the hair transplant was perfect for someone in your situation: FUT mega-session with a conservative hairline. You -- and the clinic -- put yourself in the absolute best position for the "long term," and this is regardless of whether or not you are on preventive medication. You are set to continue with surgical restoration if you do lose more hair, and this is probably what you will need to do. Not a bad position to be in at all. Just continue with FUT until you cannot do any more, and then switch to FUE if you need or want more work (including putting some grafts into the scar). I frequently work on patients who cannot or simply will not utilize preventive medications, and the goal with these patients is to start with the approach you took here and move forward as I outlined above. So while more surgery may be in your future, I think you are probably in pretty good shape here. And, by the way, the work looks great as well. I hope this helps. Dr. Blake Bloxham Feller & Bloxham Medical, NY
  18. Hi, folks. I'm a 60 yr old male who's had multiple hair transplants ( HT ), with 4 different doctors. My first HT was in 1984 when the technology was in the Stone Age compared to today. As a result, some of my surgeries have been as much about remediation of large, poorly- placed plugs, transected grafts, etc, as it's been about trying to add new hair. My last HT was in 2013 with Dr. Feller. It was my first HT with him, and by far the best. He's outstanding. But now Feller has cut back on the number of surgeries he's doing. This is likely my LAST hair transplant since I have very little donor left, so i really wanted to make the right choice for a surgeon. After considering going many different surgeons my gut told me to return to Feller Bloxham. I'm going to do my HT on April 30th with Dr. Blake Bloxham, Feller's partner at Feller Bloxham Hair. I met with Dr. Bloxham last fall was greatly impressed with his professionalism, knowledge, and empathy for my situation. He estimates that he can do another FUT of ~ 1200 grafts from my remaining donor area. I'm confident Dr. Bloxham and his staff will do an outstanding job, and am really looking to the procedure. I realize ~1200 grafts is nothing these days, but that's about all I have left for a strip. All the previous HT's have left me with very little donor area. I'll post some pictures when I get a chance. This is likely my LAST HT since I have very little donor left. Now, I have only the left side of my head ( above my ear and running towards the back of my head ) available for a donor strip. I have thinning in the middle of my scalp that runs from front to back. Dr. Bloxham's goal is to provide density to the middle front, as well as provide more density to the thinning middle that goes to back to my crown. My crown area has the thinnest coverage. I've been told many times that the front area is much easier to get better results. Dr. Bloxham plans to go from front to back until the grafts run out. My plan after this last HT is to try SMP to address the remaining lack of coverage/density that might exist. So my game plan consists of a combination of a final HT and then SMP? Have other people been in this same situation? Thanks for letting me know.
  19. Hi, folks. Finished my HT with Dr. Bloxham in Tuesday. Great experience working with him, his crew, Cathy, Bella and others. Very professional and kind people. This is likely my last HT as my donor area is pretty tapped out from previous HT's. These last two procedures with Feller-Bloxham ( 2013 and now ) were the best experiences I had by far. Now comes the waiting and hoping that my scalp heals up well. I may do SMP in the future but will wait and see how this new HT grows out. I highly recommend Dr. Bloxham and his staff to anyone who has experienced substandard results previously. They are the best in my book.
  20. Hi, conan. I'm in the same situation. See Upcoming FUT with Dr. Bloxham . From my pix you can see I've lost a ton of hair since my 20's. From your pix, brighter lighting and uncombing your hair over the thin areas would provide a bettter idea of your back 2/3's hair situation. You should get evaluated by a good surgeon-- in person, as you noted-- to make sure he can examine your scalp closely. Dr.Wong is a great surgeon I've heard. I'm down to my last HT. I've chosen to do it with Dr. Bloxham this Tuesday ( the 30th). I'm very excited about this. I'm 60 yrs old, so my hairline pattern is pretty much established. Now, given my extremely limited donor area I'm down to my last HT. I considered a number of surgeons before deciding on Dr Bloxham. I'd had a transplant with Dr. Feller in 2013. The results were great, but now Dr. Feller has reduced his schedule a lot. So I chose Dr. Bloxham at the same practice ( Feller Bloxham Hair ) and am very confident he will do a great job. I met with him at the end of last year. He's a great guy, very trustworthy, and understands difficult cases like ours. I've had previous HT's with different surgeons in the past. I wish I'd discovered the Feller-Bloxham practice from the beginning because my first HT's with other surgeons were bad. Not that much scarring, but the big plugs they used in the 80-90's required remedial work. Anyway, if I were you I'd choose your "Option 1- keep the meds and do another surgery." That would preserve your hair in the back 2/3 's and give you the most options in the future. With your limited available donor area I think that's your best option. Don't stop the Finasteride. I agree with what others said, it's not going anywhere. And it's doing its job; you're not having any side effects, so all's good. I'm also considering SMP in the future for adding the appearance of greater density. Would you consider that as well for your crown area?
  21. Feller and bloxham, Dr. Wesley, True&Dorin, Dr. Bernstein also Dr. Rahal
  22. The dreaded "cracking." I think I receive at least one email per week from an understandably nervous post-op patient. Rest assured that this is expected. You did not lose an entire row of grafts, nor did you some how dislodge a perfect row or "chunk" of grafts. I have heard differing explanation as to why doctors think this occurs. I believe these cracks occur because the skin contracts as it heals. When you have thousands of small wounds covering tissue that has been stretched and swollen, you will get contractions that will appear like little rivers, canyons, cracks, or roads in the grafted area -- I have heard it described using all these different illustrative analogies. It happens even more frequently when dense packing is utilized. It can also appear more dramatic when you are scabbed up and a larger region of superficial scabbing (with or without some hairs attached) falls out. Rest assured, however, that even if you see these "cracks" or missing "chunks" above the surface, the grafts are safely anchored below the skin. They may be temporarily displaced from where they will eventually settle, but they are secure. Many people also assume that areas were missed during the transplant itself, and this is typically not the case. Just part of the healing process. Graft dislodging is a pretty specific event that happens within the first 3 days (when true follicular units are used). If you did not see an active bleed accompanied by an event within the first few days post-op, it is very unlikely that you lost a graft. And this to me just appears like the classic contraction from healing. Of course you should always keep your doctor in the loop and run this by him/her as well. Hope this helps. Dr. Blake Bloxham Feller & Bloxham Medical, PC | Great Neck, NY
  23. Hi Everyone, Many of the members and frequent contributors to the forums are obviously very knowledgeable about the hair transplant process. At this point, it is probably difficult for most to even remember a time when they were not "fluent" in the world of hair transplant surgery. But think back to when you first discovered hair restoration or first began your own research process. It is overwhelming and many ask themselves: "Where do I even begin?" Most patients have many "frequently asked" questions about even the most basic aspects of surgery; "How is a hair transplant performed?" "What will it feel like?" "What will I look like after and when can I go back to work?" "When will I see results?" To try and help some of those new to the hair transplant process, I put together a video narrating one patient's "hair transplant journey" from day 0 to month 6. While it does not cover every single aspect of his process, it does touch on the highlights of what most researching patients want to know. This includes: the steps of the surgery itself and the surgical experience; the immediate post-op; getting back to work; the beloved "ugly duckling" phase; and growth and results. The patient in the video underwent a 2,500 graft FUT mega-session, and his 6 month results are included as well; so those who are more knowledgeable about the process may want to watch just to see these. Thanks for watching and commenting. I truly hope new members finds this helpful. Dr. Blake Bloxham Feller & Bloxham Medical, PC
  24. Konior, Hasson and Wong, and Shapiro are top FUT doctors. I'm sure there are more, but those are the ones I'm familiar with. I think Dr. Feller, Bloxham and Cooley are pretty good too, but I haven't done that much research on them. If you do another big FUE session your donor area is most likely gonna be done, but if you opt for FUT you're still gonna have areas above and below the scar to take from. It's pretty simple math. Plus, FUT is cheaper if money is an issue for you.
  25. Greetings all, I've been a lurker of these forums and other related forums for a while now, and I would like to share my hair transplant experience/results by Dr. Bloxham of Feller & Bloxham who performed a FUT of 2500 grafts on me back in July of 2017. I e-mailed him a few days back thanking him for the amazing results and apologizing for taking such a while to get back to him (Told him he could interpret that as a good sign given that I was enjoying life with my new head of hair!). I couldn't be happier with my result! I hope this post helps someone out! All photos below are taken with dry hair (with the exception of the immediate post op photo) , no product in them whatsoever (only styled with my hands or a comb). I also got on Finasteride 1mg daily for the first time roughly 2 weeks post-op and have been on it since. Some basic info about me: currently 26, was 25 when I received the transplant. Multiple instances of hair loss on my fathers side (including my father), none on my mothers side. Hair loss was most prominent on my temples (Left temple being the worst). It's hard to say when I first started experiencing hair loss but if I had to take an educated and conservative guess it would be in my early 20s (20-22). During the procedure: Head was shaved down, got numbed up. Dr. Bloxham performed the slits and kept me alert with good conversation, genuinely enjoyed talking to him. 3-4 technicians performed the graft installations - they were great as well and thoroughly enjoyed talking to them. Post-op: I slept upright at a 30-45 degree angle for a about a week and lightly rinsed my hair/grafts with shampoo & water mixture in a cup which formed suds. I let my hair air dry afterwards, didn't use a towel until 2 weeks in really (and even then I would be gentle with it). Nothing else for my post-op routine. Photos: Pre-Op: Immediately Post-op: Roughly 1 year post-op (August 2nd, 2018) August 14, 2018 (Shorter hair, after a haircut) January 2019 March 24, 2019 March 31, 2019
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