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  1. Hello I am 13 months post op from my Mfue procedure and I am not satisfied with the scar. I need some guidance/advice from other users or surgeons. I am African American descent and my hairline started receding when I was 20 years of age (2010). I have been using Rogaine since then but started doing extensive research in 2012 about permanent solutions. I consulted with Bosley in 2012 to discuss hair transplants as well as other products (propecia). They also explained to me how the FUT procedure was performed but I was not interested because of the linear scar that would be noticeable based on how short I get my hair cut. In 2014 I did more research and looked into hair forums and studied the FUE procedure. In early 2015 I had an online consultation with Dr. Umar and he gave me a recommendation of how many grafts would be needed performing the FUE procedure and I strongly considered it but decided to hold off on it and do more consultations. I joined the hair restoration network and looked at different individuals post and came across a couple of different Doctors who were recommended with high praise. In the summer of 2015 I consulted with Dr. Alan Feller in regards to getting a hair transplant for my receding hairline. I wanted to discuss the FUE procedure but based on my hair type the doctor did not think FUE would yield a good result. Dr. Feller suggested I consult with Dr. Blake Bloxham and the new MFUE procedure.I consulted with his partner Dr. Bloxham the following year August of 2016 to discuss the MFUE procedure. Dr. Bloxham explained the mFue procedure in more depth and that the hair transplant results provides the yield of the FUT procedure with fue scarring and that simply getting the fue procedure does not provide good quality grafts. I viewed the thread on the website hair transplant restoration network titled “Introducing mfue” thread created by Dr. Bloxham where there was a patient who received the mFue procedure from another doctor and the patient was wearing a very low buzz cut. I looked at the pictures of the patient and I could not see the mFue scar. This is why I was most intrigued by the MFUE procedure because I thought I was getting strip quality grafts with minimal scar appearance like FUE. Based on my hair loss in the corners of my hairline Dr. Bloxham decided I only needed about 250-300 grafts. I decided to make an appointment for the procedure September 2016. The morning of the procedure Dr. Bloxham asked me if I had a preference on where the scars would be. I then asked him “where should the grafts be taken from?” because I assumed the grafts are always taken from the back of the head. He decided to take the grafts from 4 different places. I did not understand why he decided to take some of the grafts from locations on the side of my head but he told me the scars would be 2 centimeters. He took the other grafts from the back of my head and from each side of my head. My head was shaved in the donor area where the grafts were taken as well in the recipient area where the grafts were placed. Once the grafts were taken the doctor and his team used staples to close the wound. The procedure was about 4 or 5 hours. Once the procedure was complete Dr. Bloxham told me that they took 900 grafts total as opposed to the 300 grafts he recommended however he did not charge me the full price of 900 grafts. The additional grafts that were taken were for future hair loss that may occur. I was told to leave the staples in for 10 days and then I can go to a doctor to remove them or come back to the office and get the staples removed. I decided to come back to the office and get the staples removed. I experienced a lot of shock loss in the donor area and temporary shock loss in the recipient area. Once I got my first haircut which was about 15 days after the procedure I was not pleased with the length of the scars and I had two dents on the side of my head. The dents that I had on the side of my head were underneath the scars and the dent on the left side of my head was much more exaggerated. Dr. Bloxham told me that the dent area would heal once the tissue relaxes. I also had what I thought was a bump at the end of 3 of my scars. I was concerned so I went back to Dr. Bloxham and had him take a look at the scars and he explained to me that what I had was extra skin at the end of the scars and that they will flatten out as the scar matures and he said it was caused by the folding of the skin when the wound closes when the staples were used. I asked the doctor if there was anything I should put on the scars he recommended Vitamin E only. I used Vitamin E for a few days and stopped because it made the area feel very weird and itchy. The temporary shock loss in my recipient area went away in a bout 2 months but then I experienced possible seasonal shedding at the 5 month mark in the recipient area and around it. I was not sure if it was because I stopped using Rogaine or if it was seasonal shedding so I continued using Rogaine for my hairline. Before the hair transplant procedure when I got a haircut I always told my barber to use a 1.5 guard but ever since then I tell him to use a 2 guard but unfortunately you can still see the scars when I get a haircut. With one of the scars on the right side of my head that had extra or stretched skin on the end of it, it appears to still be trying to heal or hopefully contract but it is like hitting a bump in the road whenever my barber shaves on it. I have been considering cortical steroid injections and cool laser treatment by a dermatologist to help flatten the scar or reduce it. From what I have seen when I look at scars in general they are flat but my scars are not. From my research and what the doctor told me scars take about 12 months to mature and we are passed that point. Please provide your opinions, thoughts, experiences suggestions etc. Last time I spoke with the Dr. Bloxham about FUE into the scar he thought the scars looked fine and were not noticeable to the average eye but I disagree and prefer to wear my hair shorter. The Pictures below are 1 day after getting my haircut with #2 guard.
  2. I'll let you in on a secret. No decent surgeon makes that promise, and I very much doubt Dr. Bloxham did having been trained by Dr. Feller. They can try their best to minimize scarring, but it is still unpredictable. I don't think the scars look great either, but their closure technique is solid. You don't need to talk to me about destroying a patient's life. My life has been irreversibly altered courtesy of a well known Canadian doctor's tech dismantling the back of my head. In my case, it was over harvested, I had minimal growth, chronic inflammation, and the list goes on. Dr. Bloxham repaired this patients hairline, did not over harvest, made a judgment call to harvest additional grafts safely, and gave the patient clear instructions on post op care. In fairness, I would have just opted for a standard strip. I think Dr. Feller would even agree that MFUE causes more trauma than a standard strip and I'd be reluctant to get multiple scar repairs. I think some light fue grafting and SMP is his best option and he can move on fairly easily. This isn't a failure by any stretch.
  3. Here are the before/after photos and video showing how NJ744 actually appears in reality. These include the hairline results of the procedure itself, which he chose to omit. These results are shown with the patient’s hair buzzed to a # “1.5” guard, which is below the #2 guard the patient was informed (verbally and in writing in the consent form) would be the minimum he would need to successfully cover the scars. If the goal of a hair transplant is to cover bald skin with growing hair, then by any rational standard this procedure was an unqualified success. And I expressed this to the patient during our 12 month follow-up. I was extremely pleased with the results in both the recipient and the donor. Having said that, I understand that the patient is not happy about the scars. And he went to great lengths in his photographs to present the scars in a manner that exemplifies his point. If he left his hair at the length agreed to prior to surgery, then the casual observer would never know they were there. A lot of thinking, planning, and discussing went into how the donor area would be harvested. NJ744 was involved in every step. All hair transplants leave scars. There are no exceptions. What’s more, these scars represent something very important in hair transplant surgery: a trade-off. This patient rejected FUT. And probably rightfully so. With African American skin type, the chances of hypertrophic and keloid scarring are higher. And a large connected FUT scar that is stretched to this level could have been unacceptable in the donor. However, the trade-off for this would have been excellent yield. Dr. Feller rejected FUE for this patient because he simply didn’t have the characteristics for it and it would have likely resulted in unacceptable transection and a cancellation of surgery after only a few test attempts. He would have had smaller and more frequent scars in the back, but the trade-off would be the almost guarantee of damaged grafts and poor yield. So what we offered this patient was the best and most carefully considered trade-off: let us take small (2cm) “hits” from very strategic areas in the donor. This will leave you with scars like this – which were discussed and known to the patient far beforehand. In return, you will get minimal scarring in the back that is well broken up and eliminates the chances of a long, connected bad scar, but you will get quality grafts and good growth. And as you can see, this is precisely what was delivered: excellent results and very reasonable scarring in the back. So much so, in fact, that I have done this approach now on many patients and it’s a hit. Ironically enough, I’m in the process of actually renaming this approach and creating a video sharing the technique and this patient’s specific case is one that inspired me to keep pursuing it. Knowing everything I know now, I still would not do anything differently on this patient. He has excellent results in the front and can even cut his hair down to a 1.5 with obscured scarring that looks more like trauma than it does surgery -- although a #2.0 or greater was recommended. Despite a rejection of pretty much all my recommendations during the post-operative period – which were given over the course of dozens of email exchanges and several in-person consultations -- his results are undeniable. In the end, he is my patient and I want nothing but the best for him. I want him to be happy. There seems to be this growing idea online that doctors and patients are “adversaries,” but nothing could be further from the truth. I treated his scalp in the same way that I would treat my family members, my personal friends, and ask my own to be treated. We all want a procedure that gives great growth with tiny scars but today's technology demands a trade-off between the two and is a reality all potential patients must recognize and understand. Dr. Bloxham
  4. Hi Everyone, Here is a video Dr. Bloxham and Dr. Feller shot of a patient who visited 10 months after his hair transplant with us. Tara Feller and Bloxham Hair Transplants
  5. A week past and pulling through. Thank you Dr. Feller and Dr. BloxHam for your compassion and giving me hope for a better day and for helping many others. The office staff are awesome starting with front office Kathy who went above and beyond from expediting my procedure appointment to promptly communicating with me via phone and email. Humbled to meet Dr. BloxHam for the first time, because during 1st procedure I didn't get to see him at the clinic. I arrived at the clinic around 7:40 am took me a while to get a taxi due to snow conditions. Dr. Feller was already there and he greeted me and told me to hang around and to make myself comfortable watching T.V or use rest room. As usual feeling at ease around Dr. Feller and feeling you are truly in trusted hands. A few minutes later, Dr. BloxHam came in and I had never met greet me by name. Dr. BloxHam so kind and caring throughout the procedure he would ask me if I feel pain. Dr. Feller did procedure in the past so he can relate to my pain, but shockingly I felt that Dr. BloxHam was very much understanding to what I am going through. The hardest part is the first anesthesia needles but soon after you start to feel numbness. Thanks to all the technicians Kathy, Bella, Stephanie, Cynthia, Rosa, Lucy, and Beljinder. The staff were so caring to the point that I was afraid to express pain because they will go above and beyond, because I wanted to get over the procedure. Even if I told the technicians please keep going they won't listen. They'll rather call the doctor to administer more anesthesia this way I don't feel pain. 1st procedure about a year ago Dr. feller gave me his direct cell phone number to call him if anything anytime. This procedure Dr. BloxHam went through the post procedure care with me for the second time as previously I was informed by technician Kathy. Dr. BloxHam provided me with his direct cell phone number. Is been a week since my procedure and going through the healing process. I am glad I found the doctors and staff I trust and I can't thank them enough. I told my friends two surgeon took care of me and they are family. They misunderstood thinking that the two surgeons are literally my family, but to me they are my family.
  6. DO NOT DO FUE IT DOES NOT GROW AS WELL AS FUT. I AM LIVING PROOF. I had 1,750 FUE performed on me in March 2013 with a doctor who shall remain nameless. I was told the FUE would grow every bit as well as strip grafts and believed it. But after waiting 17 months I had almost no growth. Just curly cue hairs that were scattered over my still non-existent hairline. Would have been better if I did nothing. All I wanted was my hairline back so that my face could be framed in. I knew I would have to get more transplants but I was worried that maybe I was just not a grower. And no way I was going back to the same doctor. So I contacted Dr. Feller and had a consultation with him in his Great Neck office. I asked him why he thought I had such poor growth and he pronounced three letters F-U-E. He explained to me that my growth failure was probably due to the injury to the grafts during the extractions. This possibility was not explained to me before my procedure by the FUE doctor. Dr. Feller examined the back of my head and said there were FUE scars everywhere but that he could get about 1,500 grafts out using FUT. I was worried again because my FUE doctor gave me more than that (1,750), so what was 1,500 grafts going to do? Dr. Feller said his strip grafts would grow better because there is much less injury for the grafts. This made sense to me so I signed up for a strip procedure with him. On the day of the procedure I arrived at 7:45 AM and there was Dr. Feller already waiting for me. He put me at ease and we reviewed the plan which was give me my hairline back so I can comb my hair backward. After the paperwork we went into the surgical suite and I met an army of technicians. Dr. Feller numbed the back of my head which was much better than the FUE doctor because I felt nothing. He took out the strip which I didn't feel at all, and then used staples to close the skin. I felt nothing. One of the nurses put on a video and I fell asleep after Dr. Feller made the slits for the new hair roots in my hairline. Hopefully it would work better than the FUE did. I watched TV and napped and when I work up I was almost done. Dr. Feller had gotten 1,600 FUT grafts out, 100 more than planned ! He didn't even charge me extra for them. Dr. Feller is a very nice guy. Very genuine, caring, and funny. He put me at my ease and was attentive to me the entire day. By the way he is also very very intelligent. When the day ended one of the nurses gave me a mirror and I could not believe what I saw. It was completely different than the FUE doctor. The hairs were packed much closer than the FUE hairs were. I could see this would make a difference when they grew. So now it's a year later and Dr. Feller's strip grafts grew incredible. I couldn't be happier. And I am shocked at the difference in growth between my FUT grafts and my FUE grafts. FUT is much much better. I was so pleased with the results that I returned for a second procedure to fill in behind the hairline. I'll put those photos up when Dr. Feller gets them to me. Unfortunately he can't get as many grafts this time because of the FUE scarring. If only I had started with Dr. Feller and FUT ! What's done is done, and I'm happy now and my daughters will see their father as a man with a normal hairline and not a huge forehead with sprouts all over it. Thanks a million Dr. Feller and your wonderful staff.
  7. So our very interesting and fun patient sent another email, now 6 months...that's right...6 months...out from his latest procedure saying he's ready for more hair. We go back 5 years with this guy, and I initially recommended 2 strip cases. If we'd have done that, he'd likely have been "done" (although maybe not...he is hair greedy!), years ago. As it was, he was sure he always wanted a crew cut, so we did LOTS of FUE. We got him to where he wanted...nice crew cut up top, no donor depletion or significant scarring in the back. Then what happened??? He wants more hair. Eventually it just got difficult to do more extractions....FUE definitely causes LOTS of subcutaneous scar tissue that limits future removal without avulsing roots. Nobody but Dr. Feller talks about that, but its absolutely true, and obviously more in some people than others. Well anyway we needed to switch to MFUE after starting a low yield FUE due to that scar tissue. Obviously we got near strip quality grafts and he loved the extra hair. And then he wanted another. SO 6 months ago we did another and that is likely JUST STARTING TO GROW...but he's ready to schedule more. Now lots of guys are like this....you have to wait for a variety of reasons...healing, to know where to put hair, to make sure things worked.... But I know this guy well, he'll be in next spring and we'll see what if anything we need to do. Actually I'll try to push him out 18 months to let him get the max out of the last case before we contemplate anything else. I think we're near the point of diminshing returns for future endeavors. He knows that. Hair greed hits most people. I put up a female video this week...she has it. Many men get it. And at the end of the video Wendy comments on a senior military guy on whom we did a scar repair (surgery by well known clinic elsewhere 5 years ago), just last month. I talked with him for 2 months about how I though he should get more hair and scar repair now. He was SURE he'd never want hair, just wanted his scar better. He came in Wednesday with a buzz cut, an ALMOST indetectable scar, and brought up "when can we schedule a strip case?" My initial answer was...30 days ago... So if you're hit with hair greed, you're in good company. The video is: Dr. Lindsey
  8. Every once in a while we will post photos and videos under the banner of "Scar Search" because that's simply what it is. In this day and age of FUE hype and FUT vilification we think its important to reacquaint the public with how most donor scars look after properly performed ultra refined hair transplantation and why it is still the gold standard today. Note that the all the hair and skin above and below these scars are perfectly intact. Way more to come, but enjoy this short video and presentation. Thank you. Dr. Alan Feller Dr. Blake Bloxham
  9. I've recently had several community members reach out concerned with their 6 month "results." Despite a lot of information online reassuring HT patients that 6 months truly is the half-way point as far as maturation goes, there does seem to be this underlying idea that if it doesn't look good at 6 months, you're in trouble. And to make things worse, we do frequently see examples of 6 month patients who are ahead of schedule on the community -- furthering the misconception that if things aren't "looking good" by 6 months, it won't look good at 12 -- or 18 -- months (which is untrue). So what should an HT look like at 6 months? What does it mean to be "on schedule?" What things should you see? And what does it mean if you're not there yet? To try and help, I decided to share a few examples of 6 month follow-ups who have come into the clinic over the past several weeks. I think each of these are a good example of what an HT should look like at 6 months. So I'm going to share 4 different cases; describe where these patients "fall" on the 6 month average ("ahead of schedule, "on schedule," etc); and point out some classic 6 month characteristics. I hope this thread provides some comfort to those patients around the 6 month mark nervous with their progress. You are probably right where you should be, and look somewhat like these patients: Case #1: 6 months post-op, 2,200 grafts VIA FUT 6 month rating? I would say this patient is slightly above average. Not only is his density solid and fairly uniform at only 6 months, but you can also see in the "top-down" shot that he has good growth in the more posterior regions where I worked -- and generally the further you go back in the scalp, the slower the maturation. Classic 6 month characteristics? Note the texture differences (still a little "wiry"), the shorter length, slightly slower maturation of the singles at the hairline compared to the multi-FUGs behind them, and the slight color difference of the transplanted hair. This is all normal and expected for 6 months. Case #2: 6 months post-op, 1,200 grafts via non-strip technique 6 month rating? I would rate this patient as "on target" or "on schedule" for 6 months. Classic 6 month features? The classic "wiry" or "kinky" appearance to the hairs; the patient is also exhibiting some very classic 6 month styling. Not only is he doing the very common "side part" at 6 months (this usually suits patients best at 6 months), but he's also starting to get enough new transplants to style them with his existing hair (you can see him combing these together in the left side shots), and he's experimenting with newer styles in general (he complained about not being able to ever style before and his hair always "sticking up" like seen in the pre-op pics -- though it's exaggerated in those images). If you find yourself with much easier styling options, using less concealer, or finally being able to work with your existing hair, you're right on track for 6 months. Case #3: 6 months post-op, 3,500 grafts via FUT 6 month rating? Slightly above average. I say above average simply because the patient has maturation very far back in the scalp. I was able to work all the way from the hairline into the crown on this patient. I usually tell patients that the crown noticeably lags compared to the frontal regions, and very little progress (or subtle, vellus-like growth) is normal at 6 months. This patient, however, had fairly impressive growth in the crown region at 6 months. And while I didn't get great top-downs, you can see the immature growth in the crown (short, "frizzy," hairs standing up) in the right-side shots. Classic 6 month characteristics? A lot of noticeable texture differences and the side-part styling; but what I find most "classic" on this patient is the loss of the "comb over" he was using before surgery. 6 months is usually the point where patients start to rid themselves of these crutches. Comb overs are cut, concealer use decreases dramatically, and they begin to rely on the cosmetic effect of the transplant. If you find yourself changing these things around 6 months, you're on target. Case #4: 6 months post-op, 2,500 grafts via FUT 6 month rating? Ahead of schedule. Although there are some very classic 6 month traits here, this patient looks more like what I would expect at closer to 8 or 9 months. However, all patients do mature differently; so I did want to include one of the "ahead" 6 month examples we often see online and confirm that he is ahead of schedule. Classic 6 months characteristics? Although well-matured, the patient still has some classic texture changes -- he noted that his naturally "wavy" hair was extremely curly and wavy. He also has some lack of uniformity across the front. As you can see, some follicles are growing slower than others and the hairs are, therefore, slightly shorter, thinner, and lighter in color. The top-down shot also shows something very classic for 6 months: a growth gradient. I was fortunate enough to work all the way back through the mid-scalp and into the anterior crown on this patient. And as you can see in the 6 month shots, the hair in the frontal regions is more matured compared to the hairs in the mid-scalp and crown. The frontal hairs are thicker, have more of a "wave," and provide more coverage when compared to the hairs behind which are thinner, less dense, and provide less coverage all around (even with the strategic styling). This is normal. There is no reason to be concerned if the frontal portion of your transplant looks better than the more posterior portions at 6 months. So I hope this presentation helps those who find themselves around the 6 month mark and feeling slightly concerned. And even if you find yourself "behind" these mostly "on par" 6 month cases, there is no reason to panic; everyone matures at different rates and "slow growers" are a real thing. But chances are that you somewhat resemble at least one of these patients and are right where you should be for 6 months. Thank you for reading. I look forward to your comments. Dr. Blake Bloxham, Great Neck, NY Feller & Bloxham Medical, PC
  10. Bill, behind this little questions there is a lot more which is important for threads like this. Is "good ol' Blake" posting here? Just like "JeanLuc(Bergmann)", "Dan(26)", "Gas(th?rer)" and many others here or are the post from the clinic "Feller and Bloxham"? From their own posts (especially the content not so much the signature) it appears that both are here as representatives of the clinic and therefore claim that their “opinion” is superior than the opinion of other members. Also most forum members might/will see it that way and maybe rightly so (I am not 100 % sold, but partly agree myself). If this is the case (both are here as “the clinic”) Dr. Bloxham might be more appropriate than “Blake”. However, this is just my two cents and not the important point. The important point is: If I do speak with “superior authority” as a clinic in this forum, doesn’t this also come with a “superior responsibility”? E. g. Can a “clinic” decide only to answer questions (to their own statements) which they like in such an important topic or not?
  11. Not EVERY patient who seeks out a hair transplant initially had hair and then lost it. Some never had it to begin with like this actor who said his asymmetric hairline has bothered him since birth. His procedure went smoothly. Typical dense pack ultra refined hair transplant. But after taking his photos he reminded me of someone... VIDEO:
  12. Wanted to share the 12 month results of a patient who came in to "finish" a hair transplant journey he started years before. The patient had a modern "frontal band" transplant at another clinic, but inadequate graft numbers were used and the density and definition the patient desired were not achieved. So I did another pass of 1,600 grafts to solidify the frontal band and finish his hair transplant journey. The patient has the right hair characteristics to pull off a very natural, feathered front, even with dense packing, and I think his 12 month results are just what he was looking for. Note: The patient just returned from a trip and is very tan in the afters compared to the befores. Here is a "quick vid" of his results: And here are just a few teaser shots. Watch the video for more (it's a quick one): Thanks for viewing. Dr. Blake Bloxham Feller & Bloxham Medical, Hair Transplant Institute
  13. So Dr. Feller is correct when he says the yield of FUE is in the average range of 75% and that no more than 1500 grafts should be extracted on any donor via FUE? Being a doctor doesn't mean they are immune from saying stupid, inaccurate and baseless statements. I didn't talk down Konior either, I said he is correct if we want to talk about absolute maximum donor capacity, but as a generality it doesn't make a huge difference. Finasteride has a multi-decade efficacy and 80-90% respond with maintenence quoted by various studies. You don't care about statistics or facts clearly, but the facts say that if are if you're a norwood 3 and you get on finasteride you won't lose the rest for decades. International Hair Loss Forum - Djeetee: 5500 FUE - Dr Erdogan - 27&28/09/16 And please, explain this case of a full blown norwood 6 to a norwood 1 with FUE if graft numbers are such an issue? Very few patients require more than 7000 grafts for full coverage and average density. What can I say though, you have the intellect of a dead goldfish.
  14. Maybe I really made a mistake. The main point of my post was the origin of my discussion with Dr. Feller: Would a reputable FUT/FUE clinic recommend FUE first (only)? The answer is here for everyone to see. Seems everyone is now focusing on this badly chosen word. You are right with your questions. Of course the 5000 FU is just an assumption (maybe I did not made that clear enough). But my hairloss is very a-typical and it is exactly as my fathers. Also, I am almost 40 years old and I responded well to FIN. I know it is an estimate, but let us call it an estimated guess by 3 clinics who saw me in person and also reviewed my family pics. 10 000 FU is on the top end, you are right. But 3 recommended clinics came to this conclusion and I still (!) recalculated it with a tool provided by a 4th clinic (which was presented in an international hair transplantation workshop), based on the measurements by the clinics. What else can I do? Also, I am above average in density in all 3 areas (~100 FU/cm2) and above in density and number of multis. My donor is soo thick, it makes the rest of the hair look even weaker :-/ 6 month! You are one of the most dedicated an experienced members, but also one of the most “outspoken”. I doubt that I can change your mind and I accept your opinion. We just have to agree to disagree. IMO Dr. Feller/Bloxham refuted themselves when they said they expect 99 % growth in a minor case. It is simple: Either the 3 forces can be overcome or they cannot. Obviously they can!
  15. You can't magically create new grafts by doing strip prior to FUE. Of course FUE may result in a small % (under 5) of transection doing extra damage to the donor, but most FUE doctors will not take more than 30-40% of the donor before they stop to overharvest. If you harvest 30-40% of the donor via FUE, a strip will yield 30-40% less at that point, but nonetheless you can still do strip after FUE. The difference between smart people and stupid people is stupid people evaluate using opinions rather than using facts. Konior can't change the laws of mathematics. Grafts are either there or not, whether you opt for strip or FUE first will not make a huge difference. I agree if we are talking in about absolute maximum then FUT first will provide the best results, but overall it will make little difference if the transection rate is low. "once you've raped the donor with FUE, you can't count on that giving you any appreciable amount of grafts once you've done that FUE damage." A donor being raped is typically to do with an motorized punch and large scarring, in every single one of the Erdogan norwood 5 5000-7200 graft results I posted they could still get a sizeable FUT procedure. If you have a donor supply of 5000 grafts with FUE up to 40% of donor removal, you extract 5000 with a 5% transection rate and then proceed to FUT, you will still get a strip that yields 60% as much. Argue with this all you like, what you're saying is pure stupidity and it makes no logical sense. A child can understand the basic maths here. I don't know how to perform surgery as well as an FUT master like Dr. Feller or Dr. Konior, but I also lack the bias of being part of that industry and having my profits directly impacted by this debate subject. Again, there are over a thousand results between Erdogan and Lorenzo available online, MOST of them patient posted that show FUE over the 5000 graft line and with results comparable to any strip surgeon. Ignore the patient posted results I offered on the last page and doing the research yourself if you like, but you come across like an ignorant idiot. If you think my statement about a total lack of misfires is inaccurate, then find some misfires and prove what you are saying. "And the 10k graft number came from him hypothesizing that is what he has available and realistically NW 6/7 men need 10k at least to get a good result, every single case I've seen that's less then that would benefit immensely from thousands more grafts and quite frankly should've just shaved the remainder off and moved on, but that's their choice to make." And more pure nonsense. I cannot believe you are still going on about this goalposts fallacy. The vast majority of patients aren't norwood 7, and the vast majority of norwood 5s and 6s are happy with results around or under the 5000 graft mark. You're honestly trying to say that FUE isn't a good procedure because it can't get 10000 grafts for the average patient? Why not just make it 20000? FUE can't get 20000 grafts? Must be a shit procedure! Seriously, I feel bad for humanity when I read posts as stupid as yours. Your level of understanding logical arguments and what constitutes evidence is below that of a cucumber. Take an epistemology course for real. All opinions and appeal to authorities, not one FACT.
  16. Much of the FUE vs FUT literature I have read on both sides is barely high school level and shows utter disdain for the scientific method and understanding of controlled variables. For example the Beehner study on FUE cited by Feller and Bloxham regards a surgeon who considers himself experienced and yet also claims to have performed less than 100 FUE surgeries in a decade. To believe anything a talented surgeon writes even if the work is utter garbage and the evidence does not reflect evidence it is nothing more than an appeal to authority fallacy. We can look at the generalities on the other hand like the hundreds of Erdogan 5000-5500 graft cases on the international forums in which norwood 5s are achieving full coverage and the results are arguably more consistent than any FUT doctor in the world. When this extends beyond the hundreds (and failure rates or low yields below 2-3%) with doctors such as Lorenzo and Erdogan, you can no longer dismiss it as anecdotal evidence. https://www.youtube.com/user/NUFCBLOGS/videos International Hair Loss Forum - Dr. Koray Erdogan / ASMED SURGICAL CENTER : 5021 FUE International Hair Loss Forum - Vladimir 83 : 4502 FUE - Dr Erdogan - 14 et 15/05/2014 International Hair Loss Forum - Djeetee: 5500 FUE - Dr Erdogan - 27&28/09/16 International Hair Loss Forum - Vanpierresi & p?re : 3000 & 5000 FUE - Dr Erdogan - 14/02/17 International Hair Loss Forum - XABABA : 3200 FUE - Dr. Koray Erdogan, ASMED There are hundreds of these if you would like to look further. Hair transplant surgery is primarily cosmetic, we can deduce that FUT is clearly the better procedure by the nature of dissection under a microscope vs blind removal of tissue, however the results of doctors like Erdogan and Lorenzo show that large megasessions and massive cosmetic improvements that equal and better 95% of FUT surgerons in aesthetics and yield is possible. You cannot explain away all these cases with studies from American surgeons who are clearly having there business hit by superior and cheaper FUE surgeons who offer a more appealing service to the average patient (whether or not it is better). The studies are clearly inaccurate and high school level in many of their claims. Erdogan and Lorenzo have some of the most readily available results to view online, feel free to disprove with evidence of failure rates, poor yield and cosmetic mediocrity by looking at their results. Citing study data done by FUT surgeons who are incompetent at FUE and against it for business reasons is piss poor evidence against genuine results. Why are these and a number of other FUE surgeons such as Couto, Freitas, Lupanzula and Feriduni acheiving these results that so many highly intelligent and skilled FUT doctors claim is impossible? The explanation that it comes down to can be nothing other than competence. Why are doctors like Erdogan and Lorenzo able to get 6000-7000 on a regular basis from patients with no visible damage to the donor even with a fade cut? Why is there not a single case of an Erdogan 5000 with visible donor depletion when Feller claims this is impossible? Competence, experience and use of a manual punch. In regards to FUE, Feller lacks all of these in contrast to some of the top full time FUE surgeons. Either that, or he is simply lying. The claim that FUE cannot rival FUT for high norwood work and achieving similar cosmetic results for similar graft numbers is blatantly disproven.
  17. Some members might remember the story about the “Interview” with Feller, Feriduni (as a FUE/FUT clinic) and myself, which finally never realized. Nevertheless, I went to a second consult with Feriduni. Please be aware, I made an appointment for a consultation and not (!) an interview. Therefore, I only could ask some questions directly related to my case. I also did not record (of course) the discussion, but made notes before and after which I want to share. I also mentioned that I am in an online discussion about strip vs. FUE. - Dr. Feriduni recommended FUE as the right procedure for me (same did Bisanga and Lupanzula but the latter is performing purely FUE so maybe that doesn’t count). - This time I mentioned directly to Feriduni that I am open for strip if the results woud be significantly better - I also mentioned, that in the past I always had my hair long enough to disguise a good strip scar - Feriduni was confident that he could get results with FUE very close (or even similar) to his FUT and I had enough grafts available (which makes the lifetime graft count not a decisive factor for me) - He mentioned that I am (most likely) a good FUE candidate (hair type) - From what I understand it required many years (starting in 2003?) to come from 100-200 grafts a day to the numbers/results he does nowadays - He also mentioned that he would defend his opinion (almost similar results with FUE vs. FUT ) against anyone and actually there is a lot of discussion in the FUE conferences about this topic - Interesting point was that he told that on both sides (pro strip and pro FUE) there are “extremist” in both their opinion and their language (he mentioned the clinics names, but I will not publish them) - He admitted that there is very poor scientific data (FUE vs. FUT) and we had a brief discussion about the scientific articles and how they are edited (would be worth an extra discussion). - Interesting side note: Feriduni briefly explained different FUE extraction methods depending on the patients grafts (which helps reduce trauma but reduces grafts/session) Background to put the recommendation of the clinics into context: - I am 38 years old - Currently require totally 2500-3000 grafts - From my age and family history lifetime grafts required are ~ 5000 (if meds stop working) - All clinics estimated around 10 000 grafts available via FUE (and above average thickness and number of multis) As I am always suspicious and do not trust any doctor blindly (not Dr. Feller, not Dr. Bloxham nor Dr. Feriduni): - I used the “coverage value” from Lorenzo/Erdogan to calculate the available grafts myself and also ended up with around 10 000 grafts - Before I go for a big FUE session, I will do a minor fix for my W-Shape hairline (<300 grafts), which will hopefully tell if I am a good FUE candidate (how easy the grafts can be extracted) - If I am not a good candidate I will do FUT for the major area (crown) Maybe some will find this summary helpful.
  18. Guys, While it may be unpopular to close or remove topics, we have a good reason for removing the recent topic started by forum member "professor". While we try as hard as possible to be transparent, we also believe in accountability. Just as this community holds physicians accountable for their actions, forum members must be held accountable for their posts. Thus, when "Professor" made a number of unsubstantiated claims and then decided to delete them rather than validate them, he made an active decision to retract his statements. It is clear that he did not want to be held accountable for his statements and in addition, he rendered the topic nonsensical since his original statements have been removed. What's worse, "professor" threatened physical violence which warrants the entire topic to be removed. Had the forum member decided to back up his claims with proof,and not made statements of violence, we would have let the thread run its course and asked Dr. Feller and Dr. Bloxam to respond to his accusations. For some reason, there are a handful of members who'd rather look for conspiracies and feel that the publishers are being secretive and trying to protect unfair trade and unethical practices. That's not true at all. What is true however, is that we will do what we think is right. Sometimes, we will act in favor of the patient and sometimes we will act in favor of the physician. It all depends on what's right. Too often do members of this forum want to protect the anonymous member simply because he claims to be a patient and claims a physician has done something unethical. And while patients can identify with other patients more than physicians, I think most members are smart enough to see through someone's intentions and know when someone is unfairly maligning another member, whether it be a surgeon or a patient. In this case, it's quite obvious that forum member "professor" was unfairly maligning Dr. Feller and Dr. Bloxam and when asked to substantiate their claims, chose to remove their comments. Thus, the only fair thing to do in this case is to close and remove the topic. For those who still think this is unfair and want to discuss this further, you are welcome to send me or Dave a private message so we can discuss it further. However, we will not be discussing this publicly any further. Thank you for your understanding, Bill
  19. Hey everyone, I’m about 11 days Post-op so I figured it was time to upload my photos and detail my experience with Dr. Feller. I first started noticing hair loss, more specifically receding of the temples and temporal peaks, about two years ago. I’ve always had high temples as well as a complete absence of temporal peaks, however I knew I needed to wait until I was at least 25 years old before I opted for a permanent solution. After much research I decided to go with Dr. Feller as he has a massive amount of successful hairline restoration cases. After a positive consultation and much thought, I bit the bullet and scheduled a day for my procedure. During our consultation and on the day of my procedure Dr. Feller and I decided on a conservative hairline/temple/temporal peak restoration for 3 reasons. (1) Age, at 25 years old, despite my recent commitment to finasteride, it’s next to impossible to predict what my balding pattern will look like over the next 20 years. I absolutely have miniaturization in the mid-scalp, frontal, and crown area. As such, it makes sense that, regardless of finasteride, it wont get any better, and I will eventually have to address each area with ample Hair Units. It’s unwise to commit to a very low hairline at such a young age only to be met with future balding and a depleted donor region, which brings me to number 2. (2) Average Donor Supply. Multiple HT doctors informed me that I have average donor supply and average laxity. It’s definitely not poor, however it’s definitely not great. As a result, I need to save my donor supply for when the times comes to address my mid-scalp and crown area. With this procedure, Dr. Feller actually worked up into the mid-scalp area where I currently have the most miniaturization. So In effect this procedure addressed both my hairline/temple region and the miniaturization in my mid-scalp. No doubt I’ll have to come back to the mid-scalp and address it more aggressively, however I think with this procedure and my recent commitment to finasteride, I will have saved myself a good deal of time. Lastly, (3), and more comically, my massive forehead. It’s probably not possible to see from the pics I posted, but I honestly have a caricature-esque large head. I can say with confidence it’s probably much bigger that 99% of the posters on this site. So, if I did opt for a low hairline, because of my historically large forehead it would require far more Hair Units than the average person, thus further depleting my donor supply when I might need it later in life. So yeah, I definitely had a great experience with Dr. Feller. I hardly experienced any pain throughout the entire operation. The only difficult part was sitting in the chair for such a long time. When all was said and done, there was actually a surplus of a couple hundred grafts, so Dr. Feller actually went back and inserted them into the miniaturized regions of my mid-scalp. He was really great with talking me through the whole process as I was understandably nervous. This being my first hair transplant, I honestly had no idea what to expect. The entire time he made sure I was comfortable and had everything I needed in terms of pain suppression. Anyways, time will tell if it’s a successful surgery, however I think it looks pretty good so far. My plan is to now address my mid-scalp and crown region, then, and only if I have enough donor supply, to maybe bring the temple region in a little lower. I’ll def. post updates every month or so. Take care!
  20. All norwood 5s with high sides and back on both sides of the family. In terms of FUT I would put Dr. Feller among the top options with, Bisanga, Hasson + Wong, Konior and Feriduni. My only issue with him is that in the (rare) cases I have seen of a very poor yield there are occasions where his conduct is approaching blatantly unethical, and he is very averse to refunds or touch-ups.
  21. Wanted to present an update on a case I've shared before. The patient is a male in his 30's who underwent 2 "mini-graft" cases only several years back at a local clinic. The result of the two procedures was an unnatural look that only worsened as he continued to thin in the "frontal band" area. So I did a 2,200 graft FUT procedure (with true follicular units) aimed at naturally restoring the front and blending it into his excellent hair behind. He recently stopped by at 10 months and I was able to do an in-depth video (with dry and wet comb-throughs) and really evaluate how far he's come. I'm also linking to his case at around the 6 month mark; this may be interesting for those looking at how transplants mature. Video: Comparison Pics: And here is the link to his original presentation (a little under 6 months post-op): Dr. Blake Bloxham: 2,200 Graft "Mini-Graft" Repair | 6 Months Post-Op Thanks for viewing, Dr. Blake Bloxham Feller & Bloxham Medical, Hair Transplant Institute NYC Hair Transplant | NY Hair Restoration | Feller & Bloxham Medical
  22. I'll let Dr. Feller answer the question, as he made the representation. I am also wondering how he came up with "25% sacrifice of grafts during FUE is a more likely optimistic figure."
  23. I am wondering what set of data Dr. Feller is using when he writes "Indeed, FUE causes 13 times the amount of vascular trauma," as compared to FUT surgery. How did you deduce that FUE causes 13 times the amount of trauma as opposed to say 2X or 5X or 9X, etc. Is it based on information in a peer reviewed medical journal?
  24. What ever happened to mFUE? Wasn't that the so-called "alternative" to FUE with strip-like results? I'm surprised to barely see it mentioned at all anymore. Can Dr. Bloxham or Feller please expand on their results with mFUE? Thanks
  25. Mav, I would just like to repost the following that you wrote because I believe it is important for Dr. Feller to answer. "1) your position on FUE seems to just be based on your own experience performing the surgery 2) I understand that you have not attended an ISHRS or other conference in person in years 3) you appear to be unaware of who exactly the new and upcoming FUE surgeons actually are. Dr Lupanzula is a well respected FUE surgeon recommended by this very site and who actually presented/gave a demonstration at a FUE conference hosted by Erdogan in 2015 and which was attended by some heavy hitters like Shapiro, Wong, Feriduni, Lorenzo and others. Yet, you yourself admitted you had never heard of Dr Lupanzula until he posted on this thread. 4) I am not even convinced you have seen a live FUE from one of these top FUE surgeons in recent years. I could be wrong on this point. " Not being aware of Erdogan and Lupanzula as a hair transplant doctor in 2017, especially considering their work on the research and FUE conference circuit is outright shameful. Not only is it a terrible look, but it looks very, very hard to believe. It looks like desperation, particular considering Dr. Feller's claims that FUE isn't popular or growing in popular. Clearly an outright lie or pure ignorance of what the available ISHRS data about the growth in FUE procedures indicates. Shouldn't a top doctor be paying attention to facts and statistics? One would hope so. Again I think everyone agrees with the crux of Dr. Feller's argument as to why FUT is the better procedure for most, however there is clearly a lot of dishonesty and inflammatory, unrealistic rhetoric going on. There are FUE surgeons like Erdogan and Lorenzo who are consistently producing better results than 90% of FUT surgeons when looking at similar graft counts and hair textures, regardless of whether FUT is the better procedure.
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