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My Story

  1. Hi Everyone, Long time lurker here. This forum has helped me gain knowledge all things related to hair loss and I just wanted some opinions. I'm 27 years old - my hair started thinning at around the age of 23. I've been on 1mg/day finasteride since March 2020 and Rogain 1/day since March 2019. I'm consistent with my medication and I "think" i've stabilized. Typically i style my hair up in the front, comb the back over and i use some toppik to hide the thinning. I've been wanting to do surgery for a while now but im reluctant because of my age. Ive consulted with many doctors, all of whom said I'd be a good candidate (Dr. Feller, Dr. Diep, Dr. Rahal, Dr. Ferreria, Dr. Bisanga to name a few). My plan for hair transplant is to reinforce my hairline and add density from the front to midcrown. Do you think i'm too young or should i wait a few more years? Ideally, i'd like to have it done before my 30th birthday. Keep up the good fight fellas! Thanks.
  2. While I didn't create an account on this forum over the last couple of years it was invaluable in my research process and I want to pay it forward, especially since I seem to be seeing fewer patient posts with recent dates, at least for Dr. Cooley. Thus I will try to be thorough here in describing my process. Apologies in advance for the length of the post and the variability of the quality of the photos. I know they aren't the best. I am still only a few days/weeks out and will update this with before photos and after photos from the clinic and exact graft count(s) when I get them and try not to disappear throughout the process. My Past Situation I had an ill-advised FUT procedure when I was 21 to address temple recession. I wasn't on meds, it was premature, and I went to a cheap chop shop. CLASSIC, young guy being really stupid. :sigh The procedure (unknown # of grafts) involved putting grafts on the temples and unfortunately also some around the front of my hairline. It did very little cosmetically unless you count triggering massive loss of existing hair (most of which did grow back in fairness). The only saving grace here is that we were talking about a fairly minor temple area and because of my light hair/skin contrast I've been able to get away with a forward brush hairstyle that hid really poor work. Oh and it wasn't big plugs and the scar wasn't horrendous and avoided being in any disastrous region(s) thankfully. No matter what you do STAY AWAY from Samson Hair Restoration in Los Angeles regardless of what doctor they currently have cycled in. Why now Now, 11 years later at 32 with some additional thinning and some recession the previous work was becoming harder to cover, especially when swimming or my hair was wet. Plus, I just wanted it fixed to open up different hairstyles and to get ahead of managing what I believe will be future loss. Almost a gradual "replace" strategy I guess. In terms of meds, I had been on finasteride w/ no side effects for 4 years but then went off for 5+ years (don't really know why). I went back on 6+ months ahead in prep for a procedure and plan to stick with it this time. Not on finasteride or any other shampoos etc at the moment. Picking the surgeon In terms of research this time around I did a lot more homework using this forum as the basis for creating a smaller list of doctors. Ultimately I narrowed my list and research to consults with Lindsay, Bernstein, Cooley, Bloxham, and Nadimi. I felt these were really great doctors that didn't necessarily require a flight based on my East Coast USA location (I was intrigued by Rahal, Hasson/Wong/Kronior and some of the other staple of well regarded doctors as well but with only so much time felt good with my short list). I did not consider India/Turkey etc., not because I don't believe quality results can't be achieved there, but because I didn't want to take the risk and conduct an extra level of due diligence with respect to many of the practices and I was willing to pay $ for that peace of mind. Notes on my Consults During my consult with Dr. Lindsay I felt like he just didn't think I needed a procedure yet. He cited 1200 grafts and it was all relatively cursory. So not a fit for me Dr. Bernstein was a good consult (worth the cost) where I learned a bit and I felt comfortable with him and his work, but ultimately I wasn't blown away by the results I've seen from him either on his website or on this and other forums My consult with Bloxham was really terrific and I got a great feeling from him. He was ultimately my #2 but I did not choose him mostly because he is just relatively newer with fewer posted results. And right or wrong, some of the (rare/older) negative comments about customer service/interactions from Feller put me off. I did NOT have any of this sense from Dr. Bloxham and have never met Feller but the posts are there nonetheless. I will also say, they need to upgrade their facility. Not the medical side hopefully, but the rest of the place was old and run down feeling. Dr. Nadimi was also great (via Skype) and matter of fact but I got the sense she did more FUE than FUT. Similar to Bloxham there are just fewer patient accounts out there that I could find, but based on what I've seen and this consult I was very comfortable and impressed with her Why Cooley Ultimately, I went with the only doctor I didn't meet/ have a convo with directly in Dr. Cooley. I appreciated the consult with Lollie and a deeper understanding of their procedures and liked what I heard about use of Acell, how he preserved grafts out of body, his hands on approach, the tenure of his techs, and so on. But most importantly Cooley's track record of consistent results and patient experiences tipped me over (including one detailed repair write-up by a Blonde haired individual, of which there are relatively few results). I also literally did not find a single negative review (of outcomes) for Cooley in all my research and I valued that apparent consistency. Procedure - Why FUT I knew I wanted FUT as I (a) already had a scar I felt could be improved, (b) wanted to maximize future grafts and survivability, and (c) wanted to minimize recovery time. I am lucky enough to have a lot of Donor and existing hair that can be used to hide a procedure. Pre-Procedure and Day of All things posted about Cooley experiences were true for me. I followed pre-op instructions for scalp laxity. I think this helped as I could feel the sides definitely loosen up, and while the back still felt tight Cooley said it was great and helped with suturing (+ sutures out at 2 weeks vs. 3 weeks). The hotel they set you up in is excellent, easy, convenient and they already know why you are there and what you need. Shuttle drivers, check-in staff, and others there were helpful and discrete and the breakfast and gym is open early enough for day of eating and a last workout. On the day of the operation we met at 7am, had a calm and not rushed discussion where any other questions I had were answered, and re-affirmed my choice of 2500 FUT + PRP/Acell. In terms of hairline we were on the same page to opt for a conservative/mature hairline though Cooley jumped straight to the need for work on the temples which he said he does not always do. This process of agreeing on this was FAST as a lot of it was bridging existing hair and the past work plus a little bit of pulling temples out/down. In terms of PRP, Cooley was candid that for me he didn't know if PRP would make much of a difference as he didn't see a ton of minituraization but (a) I'm paranoid and think there is more than there is/I have very fine hair already, and (b) I am hopeful that it will help somewhat with avoiding shock loss or speeding up recovery. I know there's no real scientific evidence to back that up, but I was willing to spend the $ on the chance it helps. I will say that to make sure you get what you need before surgery begins you should 100% come prepared with your questions. For example in my consult with Bloxham he indicated that my past FUT scar had a small area branching into the danger zone for donor and advised forking the scar near my ear. I really did NOT want to do this, so asked Cooley about it. He decided to implant 10-15 hairs in the end of the old scar as part of the procedure and end the new scar in a safer location. I do not think we would have ultimately done this if I had not asked. H/T to Bloxham for noticing it in a really thorough, caring consult. I also asked about a few grafts poorly placed in the front of my forehead below the 7CM mark we agreed to for the new hairline. He said if I was OK With it that he would remove those with electrolysis which I agreed to and am relieved about as they were definitely not natural looking. Overall, it was a good conversation. I, like most others, felt comfortable and cared for by Dr. Cooley and all of his other wonderful team members. I do think the clinic could get better about having all their pre and post op documentation organized and sent in a big PDF but that's super minor overall and has nothing to do with the in-person interactions I had. One other area that I felt could be improved is in discussing recovery times. The clinic (not Cooley himself) were fairly aggressive in terms of discussing post HT recovery periods and timeline (no redness 5 days, not visible procedure at 8 days etc). It's not that they are totally off, it's just that they are definitely giving the aggressive, "best-case" scenario in my opinion and shaded this as an absolute vs. discussing the potential ranges of recovery times based on patient characteristics. Still thus far in my case it has proven to not be too far off the mark so far (devil's always in the details though isn't it). Procedure itself From the Cooley consult we moved into the procedure. Numbing/valium etc was painless. Unlike others I don't think I really went fully under for the ENTIRE duration of the procedure, I even heard a nice little "ripping" type sound on removal, but no pain whatsoever. By 11:30 the donor was removed, there were 5-6 technicians on the microscopes, I had had PRP and he had done the few electrolysis removals needed. I stopped for lunch and then we carried on. Cooley performed all of the donor incisions, with Brandi hovering nearby, and was present for probably 90% of the graft placement. I know for sure he was doing all the immediate hairline grafts. I believe he left for a little over an hour in the middle of the procedure (basically the length of a movie), but I'm not 100% on whether he popped his head in a few times during that time or not. While he was not actively working on my head Brandi was performing graft placement and I believe Amy also worked on placing grafts. Cooley returned and was essentially there the rest of the day long after many of the other techs had left post dissecting the grafts (easily 4-5+ more hours). It was clear he reviewed and had ample time to change, correct, or ensure any grafts not placed with him in the room were to his liking. Like others have mentioned it was clear throughout the day that this was a well-oiled machine, with team members that had worked together for years (decades even). Everyone was friendly and taking a dedicated and personalized approach to the operation, and I couldn't imagine going somewhere with a doctor doing multiple ops in a day. Throughout the process Brandi was constantly checking Cooley and making sure anything "controversial" about his approach was discussed (a few graft placements here and there, reminders about how many grafts were left etc). All of this was reassuring. I am sure the reverse also happened. Ultimately for the 2,500 graft procedure Cooley was able to get over 3,000 grafts (I will get exact counts later) and we did not finish the day until a bit after 7pm, meaning I was there for nearly 12 hours. This extra time and attention, plus the grafts that were not something I had to pay extra for, all speak to his long-running record of caring about his patients and working tirelessly to get results. I am obviously grateful for this. Post Op - Healing, Pain, and Experience (Week 1) Donor got painful at the end of the day during the operation so I was numbed up again before I went home. I was obviously a bit red and beat up but it wasn't as bad as I was expecting and they had already done a pretty good job cleaning a lot of the blood off. Plus I was wearing Saran wrap + a hat so able to avoid any weird looks. On night 1 I took some Tylenol but nothing stronger--which is good because I didn't get the prescriptions until day-of for stronger meds. Cooley's post-op care uses an ATP spray + saran wrap to increase moisture and prevent any graft damage and antibiotic ointment on the donor scar. You basically spray every hour you are awake and wake up and spray every 2 hours for the first 2 nights along with taking some preventative Prednisone for swelling. I followed the instructions religiously here and I think it really helped calm redness and speed healing. On night 2 I was falling back asleep pretty quickly so it didn't feel too onerous to keep getting up. For sure it kept the itchiness to a real minimum in the first 6 days. I went back the next morning for a post-op clean and got the all good from Dr. Cooley. During this cleaning Amy took time to answer any questions I had about the next week of care and was patient with what I am sure are the same questions everyone asks. In terms of the documentation they gave me to follow, I actually think it could have been a bit more detailed. It wasn't that it was bad, but I felt like an "FAQ" or just more exhaustive detail would have helped. For example, I asked about caffeine / alcohol / ibuprofen which were not listed (Cooley says moderate amounts of both are fine), and it doesn't give you much about how to sleep (when can you sleep sidweays on the grafts) and so on. To give you a sense of how smooth this was, I drove almost 7 hours home the very next day, which was completely fine and painless. Overall I found the post-op regimen easy to follow, the spray and saran wrap seemingly very effective even if I did probably use it too quickly/aggressively to try to get it through the native hair as I ran out a day or two earlier than I think the clinic expects. One curious thing with post-op care from the clinic is that it seems that Cooley's overall instructions,are more aggressive than many other docs (like the timeline to shampoo (next day) and return to regular shampooing (7 days) . I'm sure this is because Cooley is confident in the healing/quality of the grafts and incisions etc and has refined his approach over time but it does make me just a little nervous when looking at the instructions online from so many other places that are much more conservative. But he's my doc and I'm in his hands and so far so good. On night 3 I slept poorly but not really due to pain, I think I just missed exercise. On night 4 and 5 I had more pain when putting the back of my head on pillows (I slept elevated with an inflatable travel pillow partially inflated these nights to help with any potential swelling) and I did take a valium one night and the other pain killer + tylenol combo prescribed drug the fifth night. It almost felt like the donor was a little more stretched these two nights with whatever position I could find that didnt have too much pressure. If this continues I'll call the office to make sure it's normal. Some posters here have mentioned this as the return of nerve sensation but I'm not sure. Otherwise I have had some very very minor swelling which made me break out some ice on my forehead and eye area a couple of times and take ibuprofen periodically as well. It was never uncomfortable or especially noticeable to anyone else however. Last point, I am using the Hair Shake protein. I don't really think it'll do much but I've used protein powder a lot anyway so I don't mind and if it helps at all with speed of growth or minimization of shock-loss, then it's worth a couple months of it for me. I am not planning on using it long term and no one at the Cooley office actually mentioned it directly despite having it stocked there and having it listed as an optional part of the post-op procedure. Post Op Appearance - First Week The scar in the back is perhaps slightly visible with wet hair (first 3-4 days) but completely hidden with normal dry hair. As mentioned it wasn't giving me much trouble the first 3-4 days, although of course everything felt really "tight" there. At night or with pressure on it day 5-6 it actually has felt a bit worse and I've taken some of the prescribed meds just to make sure I get decent enough sleep. We will see of course on final healing and appearance, it is early days. Redness in the recipient has subsided each day, and now at day 6 is not bad at all. It's probably worse in the pictures than in real life. I am fairly pale skinned but had a deep tan going which some say can help. There is definitely scabbing, it is super mild/light and looks like when I return to regular shampooing and rub the grafts a bit it will easily flake off and be gone within the 7-10 day timeframe that they gave. In any case, it's really mild and not that noticeable. I have used their given shampoo and started leaving the conditioner in a bit longer which I think has helped. I have a couple spots of dried blood left but overall it's pretty clean and I haven't noticed anything remotely like grafts falling out. Really, not even many/any hairs yet. The kicker here for me is that I 100% had to hide from the world during this time because I was (a) spraying every hour and (b) couldn't style my existing hair for fear of touching/disloding existing grafts. So you could see the grafts taking hold and small stubbly hair, plus weird caked native hair that was a bit long already awkwardly plastered to my scalp. So all in all, a real lovely mess. Now had I managed this aggressively with a blow dryer on cool or if I was more comfortable touching and styling my scalp in this period I am sure I could have made it look better but I didn't want to take any risks. On Day 6 I did a bit of finger styling and with my existing hair I can make it look decent (see 1 of the pictures). Decent is not invisible however. The temples are harder to disguise and any close inspection things are definitely still visible so I feel I am very much still in hat land. To be fair, my wife says it's pretty hard to tell unless you get up close and personal already. We will see if my extended family at Day 11 notices anything. Summary of first week So far the difference from my first procedure has been remarkable. Basically instead of an immediate "oh shit what have I done" I felt more like a "I'm already looking better than I expected 12 hours later. and everything is going exactly like they said" It's nice to already feel like I made the right choice. The recovery seems to be text book according to their expectations, but I most certainly don't want to be out and about without a hat yet as it would be noticeable. The things I am worried about are (a) appearance at 10 days and masking it, (b) avoiding shock-loss as no work was done in the middle of the frontal third, and (c) continued management of the donor scar pain. All the rest is of course the standard, hurry up and wait, concerns about linear scar etc that we all have but if I can avoid shock loss I feel comfortable looking like I did for 6+ more months. I hope this is helpful and of course any feedback on the pics and actual quality of the work is welcome as well. Again, apologies on the photo quality I will get better ones from clinic later. I will try to post periodically as I hate the posts where people disappear but I also intend to try to live my life and not obsess over the progress over the next few months.
  3. I see some good diffuse cases from Bloxham and Feller as well as @Dr. Vladimir PanineBut all of the listed Drs have experienced a lot of cases similar to yours.
  4. Over the years I have had about 6,000 Grafts done over most of my head from Dr. True in NYC. I was mostly satisfied with the results but 2 years ago I had decided I wanted a little touch up in the front corner since it was the only area that I feel he didn't come out well and I felt I had enough donor hair to do the work. After doing extensive research and hearing all the great reviews I decided to go to Dr. Bloxham of Feller Bloxham who was closer to me and seemed to have more experience with FUE since I could no longer do FUT because of excessive scarring. Dr True was not comfortable and experienced enough to do it. I did one touch up of about 250 grafts and then came back a year later for another 150. And will tell you the results were excellent and natural and I still have a fair enough amount of hair in my donor area so that it looks full. Though both surgeons are very good I would put Dr. Bloxham a star above Dr. true for two reasons. Number one he is more experienced and confident with FUE procedure and secondly his bedside manner is by far much better. He takes the time to make sure you are comfortable and feeling no pain and is just more personable and friendly. As I said the results were excellent so if your planning on trying this I highly recommend him. BTW if you are coming in from NYC his office is about a 7 minute Uber ride from The Great neck LIRR train station and there is ample parking at the building if driving.
  5. Why does Dr. Arocha never comb back any of his patients in the after result like other top doctors like Feller, Bhloxman, Konior, H&W?
  6. As far as I know none of those surgeons offer in-house SMP at this time. They actually do all refer patients to my clinic (Ahead Ink) in northern New Jersey and I'm sure all of them would gladly verify this. The reason I got into SMP was because my HT surgeon, Dr. Feller, introduced me to Milena Lardi back in 2011 at his office.
  7. 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.
  8. "Our cover article by David Josephitis and Ron Shapiro is an ambitious and well-designed study taking place over two years in two patients who had two procedures, FUE and FUT, performed at the same time, twice. Their conclusions were that more grafts were obtained on the FUT side, residual donor density was greater on the FUT side, and FUT plus FUE yielded more grafts. When done properly, FUT is unarguably more efficient than FUE. That is important news! So why are some trying to relegate FUT to historical footnote status?" By the way I do believe there is essence in consulting with doctors who perform both methods without bias (economic, marketing etc etc) and put emphasis on patient needs, expectation and long term planning. In other words, ethics. I think that the truth shouldn't be blurred due to what the "market calls for". Just like someone is going to doubt the motives of Dr Feller for his 'aggressive' FUT stance and Dr. Cole for this 'aggressive' FUE stance, why not consider Dr. Wong and Dr. Konior's opinion who still perform both at high level (and most people on the boards consider legend status of the industry) I agree with not pushing for one procedure over another because of the type of procedure someone has gotten so they don't want to admit the opposite method maye be better etc. I think everyone should have the chance to make a decision based on facts and not marketing. For the record, I believe exclusive FUE is great for many cases but for access to max amount of grafts over someones lifetime, it simply isn't.
  9. from my own personal experience, its not that I don't want coverage, but that doctors are hesitant to operate on it. Many balding crowns still have a bit of hair that covers it. The worry is that by adding grafts to the crown, this can permanently shock loss the hair thats already in there, negating any positive effect. Furthermore, crown loss can enter its "final balding phase" later than the hairline. Someone who has a decently balding crown at 30 and gets operated on, can end up with massive crown loss throughout their 30s, necessitating the chase of further HTs. Dr. Diep, Dr. Harris, Dr. Feller, and a rep for Dr. Shapiro all concurred with the above when I presented my NW3, moderately balding crown. Dr. Konior had no problem quoting me for the crown, but thats bc he is a wizard so anything is possible with him. I was in the end able to get my crown operated on after much pushing on my end with Dr. Harris. He agreed to do 400 grafts, which he carefully explained to me is not would enough to fully cover all my crown, but enough to have a positive effect. He only did 400 vc he placed it in very selective areas that wouldn't transect with the hair thats already there. I agree with your above point there is a fine line in terms of crown loss. A mild "bald spot" is no issue at all - even teenagers can have crown bald spots. But if your crown loss gets severe enough, without a HT you really might as well shave it off bc even a 10/10 hairline will not make up for a horrible crown.
  10. For sure @Melvin-Moderator. Dr. Cole has a strong opinion, however, he has tons of experience, was a strip surgeon and is an innovator so his points give me pause. Some of his points make sense and others I do not understand fully. Would love to see a debate between Dr. Feller and Dr. Cole on the topic.
  11. This doctor has been pretty adamant against strip, he’s like Dr. Feller except he’s anti-strip. Truthfully, both methods are good and here to stay.
  12. Dr Bloxham has some great results looking forward to seeing future updates. You are still very early. You probably will not see much until at least 3 months. This is probably the toughest period for everyone but it's the process and how it goes. Another thing I've read is that the crown generally takes a bit longer. Actually the attached is an article from Dr. Feller and Dr. Bloxham related to hair popping and growth timelines on avg.
  13. Denver touched on a very good point here regarding hairline design. A good result means the practitioner should have solid technique, proper, SMP-specific tools and training, but also understand the basic principles of hairline design. If all three aren't in play then you are looking at a poor result. I was not a tattoo artist. My background was actually in publishing and at one point I was even offered the moderator position on this forum. I was just a hair loss sufferer who had a botched hair transplant. I then found this forum and educated myself and went on to have several transplants with incredible HT docs, and it was Dr. Feller who introduced me to SMP. I learned how to design hairlines from the best HT docs in the business (Feller, Arocha, Alexander, Cooley). These surgeons all had similar approaches to hairline design and were constantly delivering natural results. I realized it was a good idea to understand how they designed and employ something similar with my SMP clients.
  14. A demonstration as to how FUE causes traction damage to the grafts and a few suggestions on how to minimize it, or avoid it completely. Dr. Blake Bloxham Dr. Alan Feller Great Neck, NY 516-487-3797
  15. Thanks @Melvin-Moderator for this video! But it seems like dr. Feller en dr. Bloxham are talking about that it can take a long time to see the hair come through. I see growth, I see a lot of stubbles, but to me it looks like (once they pop out of the skin surface) they don't really grow anymore...
  16. I remember some of the initial commentaries that Dr. Feller made regarding some of the risks of FUE and other isolated extraction methods. I felt he was spot on because at the time there were not many, possibly only a handful of surgeons who possessed the adequate skill level of performing good FUE results at that point in time...so yes, there were much higher risks of damaging the donor area along with collateral damage to the neighboring FUs which would have been harvestable using FUT methods. But whether we are discussing and debating either method, it always comes down to surgeon skill and experience to produce superior results...still, I still think the average patient has more potential in total harvestable grafts with FUT.
  17. Strange question. The reason many (!) clinics recommend FUT for larger sessions has nothing (!) to do with damaging surrounding follicles. Not even the biggest FUT supporter I know (Dr. Feller) mentioned this as a reason.
  18. That's why I believe the only way those huge sessions Dr. Zarev is doing without destroying the donor is possible because of a breakthrough in FUE tools. By the way, Dr. Feller believes making thousands of tiny FUE holes can affect the quality of the skin throughout the entire the donor area and make you lose the not extracted hairs too. This is argument sounds possible in theory, but that same doctor states that sessions bigger than 1500 grafts should be done only with FUT and we know for a fact that aint true (at least anymore), so I don't give him much credibility in this topic. (Source: https://www.hairtransplantweb.com/hair-loss-library/hair-transplant-scars/).
  19. Dr. Feller has a nice article explaining the difficulties of doing mega sessions via FUE that helped me understand better the technical challenges related to it. The full article is here: https://fellermedical.com/hair-transplant-mega-session/ Some of the most interesting parts related to FUE: And more about mega sessions What he says makes total sense. But if he is saying to totally true, then doing what Dr. Zarev is doing would be impossible - unless he really had a breakthrough in terms of technology.
  20. Do you have a thread? I realize from your signature it was 8 years ago but I can't find any of your results (if you posted them) on the forum. I'd love to see your results and how they've held up. Especially since I went to Dr. Bloxham who works with Feller
  21. Hasson & Wong is my preferred choice right now because of their reputations with crowns. I'm a huge Dr Feller fan though and would definitely go back if it was a hairline procedure - Dr. Bloxham seems to be doing great work. Since I've been active on these boards again there have been so many new names with big reputations - would be great if I could stay closer to the UK and get a quality crown surgeon. Thanks Melvin. Would you still suggest getting the scar filled in even if you wear your hair a bit longer? Interesting to hear your thoughts on FUE considering all the huge FUE cases on the boards these days.... thanks for your reply. Thanks. Have you tried the laxity exercises? Did you lose laxity after the FUT or was it always bad?
  22. I would lean towards Dr Hasson or Dr Bloxham (Feller). Dr. Diep has too many ethical issues right now Dr. Hasson is world class Dr. Rahal hasnt posted many patient reviews in a long long time Dr. Feller (Bloxham) I think is a great choice. They have some really good recent/solid results and he's very engaged Dr. Gabel has a great reputation
  23. Very happy 2012 Dr Feller patient here, I had 2,000 grafts on hairline / mid-scalp. Very conservative due to my age at the time (23). My result was so good that I was able to move on from this for 5+ years (I'm back because of topical fin and interest in having crown sorted) so I can't comment too much on surgeons today, but I'd 100% recommend Dr. Feller for the overall experience and the result he gave me.
  24. My opinion would be Dr. Bloxham all day. I would say he'll attack the frontal zone zone first with a dense pack FUT strip procedure. Go back 12 months later and do the vertex and crown with a second surgery and you should be all done. He's extremely knowledgeable, transparent and putting out some great consistent, natural looking results - see his youtube channel (Feller & Bloxham Medical).
  25. Here`s my opinion on the best of best. TOP FUE Doctors Dr. Raymond Konior Dr. Bruno Ferreira Dr. Bruno Pinto Dr. Sahar Nadimi TOP Combined FUE + BHT Doctors HLC Ankara Dr. Kaan Pekiner Dr. Sethi or Dr. Arika @ Eugenix TOP FUT Doctors Dr. Raymond Konior Dr. Bijan Feriduni Hasson&Wong Dr. Sever Muresanu Feller&Bloxham For FUE and BHT I prefer Doctors doing the whole surgery (Eugenix being the exception but their technique doesn’t allow them to have just the Doctor doing everything and they do excel at BHT) on just 1 patient per day with either DHI or Stick&Place and with real patients posting amazing results on forums. The best in the US is considered by most to be Dr. Konior and he also operates on just 1 patient per day with stick&place so it’s safe to assume this technique along with DHI (which is similar and also provides insane results like the ones Couto, Freitas and Pinto have on the Spanish forum) will produce the best results (when in the hands of a great surgeon). My preference left out many other elite FUE Docs that have truly remarkable results posted by real patients (Couto, Feriduni, Freitas) but these are Doctors that aren’t focused on just 1 patient per day (not as cost effective) or are still doing pre-made slits (which is the best option for FUE surgeries partly delegated to techs because the Doctor does all the slits and only after do the techs implant in the pre-made slits so there’s less of a chance for newbie techs to make mistakes) For FUT I actually thinks it’s best to have techs because all the grafts are extracted at once from the strip and they must be implanted as quickly as possible thus requiring a tech team to quickly extract the grafts from the slit and to quickly implant in the pre-made slits designed by the Doctor. I have updated my list of Doctors (prices may not be 100% accurate).
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