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  1. Yeah, what you need to do is hop on the phone and start negotiating a refund. There're clear signs of minimal growth and doctors need to own up to their inadequate results, no matter what their reputations may be. This is a very irregular pattern indicative of minimal graft survival. Give it till 8 months and then hit the clinic with as much as much pressure as possible. How many times does Dr. Feller need to rant on about FUE mega sessions.
  2. Matty, Just to add, there's a lot of information regarding the differences between FUT/strip and FUE. For starters, don't buy into the "FUT vs FUE" hype. One thing people don't stop and think about is that the debate isn't about FUT vs. FUE. It's actually strip vs. FUE. Strip and FUE are two donor harvesting techniques that can be used during an FUT (follicular unit transplantation) procedure. Thus, it's actually accurate to say that FUE and Strip are both FUT - just different ways to obtain follicles for transplanting. There are a plethora of opinions regarding strip vs. FUE but in putting all the data together, I personally believe the following: 1. In general, grafts harvested via strip vs. FUE produce higher growth yield. However, I've seen many FUE grafts produce outstanding growth 2. One surgeon's experience isn't enough to form an accurate opinion and assessment of FUE. For instance, Dr. Feller makes some outstanding points and presents a lot of factual information regarding the various extra forces placed on the follicles during extraction from FUE vs. Strip. However, regarding overcoming these forces, Dr. Feller claims this can't be done. Other surgeons claim it can be and has been done. Dr. Feller refutes this. So what's the truth? This is up for you to decide. In my opinion, surgeons who claim they can and have overcome the additional forces on the follicle should provide evidence showing they've accomplished this. On the other hand, it's hard to dispute that it is perhaps possible when many surgeons recommended by this community produce outstanding results via FUE on a regular basis. 3. In general, I feel that strip is probably better than FUE for larger procedures. However, those with a lot of hair loss can make use of both strip and FUE to obtain even more available grafts for transplanting. 4. With strip, there are a lot more standard tools and techniques. For instance, microscopic dissection, the trichophytic closure technique, using a single scalpel to harvest the donor strip, etc. With FUE, there is no standard tool that physicians have agreed on to harvest follicles. There's manual tools, motorized tools and machines, some of which are fully automated. Most physicians select a tool that they feel works best for them. Each tool has a unique list of advantages and disadvantages and some physicians make better use of a tools strengths in their hands than others. I suggest clicking on the below links to learn more about some of these things... What is FUE? The famous "FUT Vs. FUE" The History of FUE Manual Vs. Motorized Tools Sharp Vs. Blunt Punches Automated FUE Best wishes, Bill
  3. Matty, I'm pretty sure Dr. Feller has always been open about the fact that most, if not all, of his hair on top is transplanted. He'd likely be a total slaphead by now if not. Since this thread was bumped, just something I've thought about from time to time which likely has been brought up before... You don't see many (any?) reports of people who have gone to what are generally considered the top FUE clinics who seem to regret their decision in doing so. Dr. Lorenzo's reputation seems as solid as ever even though he might delegate more of the workload these days. Dr. Erdogan and staff still seem to be thriving while pumping out multiple procedures on a daily basis. By this time, surely the internet should be chock-full of their dissatisfied FUE patients if the results are really that much of a crap shoot. If the FUE procedure in general is really as unpredictable as you guys purport, even these top name FUE doctors should have plenty of negative press out there. Where are all these bad reviews?
  4. start out with some consultations, in person and online, and get several recommendations from surgeons you are considering... You have Dr. Feller in your back yard, send some photos to Dr. Konior, Shapiro, Rahal, H&W - see what they propose in terms of a restoration plan. I assume most will want to tackle the hair-line and frontal zone first although H&W could likely do your entire case in one sitting with their mega-sessions. Also depends on whether you want FUT or FUE. Pros and cons to both including cost. Others have also traveled internationally to some great surgeons in Belgium or Turkey, don't know if that's in your game plan.
  5. My thanks to Dr. Feller and his staff for a second successfully executed procedure. I had my first performed by Dr. Feller almost exactly one year ago. Up to then I had lost most of the hair in the front and only had some strands left. I also have very fine hair and an OK donor so we decided to concentrate the grafts into the areas that bothered me the post. Dr. Feller implanted 2,000 grafts into just the front. You can see in the photos what he did and how it grew. I'm very happy and satisfied with the result in both its natural look on the hairline and the density. Today I had my second procedure with Dr. Feller to fill into the crown area. I comb my hair from the right side so we strategized that it would be best to focus the bulk of hair there. I must say this time around was easier than last because I already knew what to expect and I already know and trust Dr. Feller and his staff. The same exact people worked on me again which was of comfort. So I look forward to my growth and will keep you updated. Again, thank you to Dr. Feller, Dr. Bloxham, and the staff who were not only very professional but courteous and nice as well. I recommend them highly. Check out my photos, I'm very happy with my results and can't wait for the growth of round number two.
  6. Hello members, I just became a member on here after researching many blogs and finding this one to be the most trustworthy and honest. I'm beginning to start my consultation period before hair transplant and need advice. I want at least five doctors that I can meet with location is not a factor. Preferably within he United States and Canada. I want to try to find the best doctors which I know might not real but I guess the ones with the best outcome and recovery. What's important to me is the procedure but also the communication afterwards. So far I have these doctors: Dr. Feller- New York Dr. Hasson and Wong-Canada Dr. Marc Dauer I had Dr Alvi Armani but after reading reviews on here he seems very shady. Any help would be highly appreciated or thoughts on who I have so far. I'm so glad I found this site thank you to all the members
  7. The less the contrast between hair and skin, the better it looks. You can do more with fewer grafts. Great when we get these patients. Dr. Bloxham of Feller and Bloxham, PC discusses:
  8. Dr. Feller, I want to thank you for taking the time to post on this forum, I know you have endured a lot to to educate us. The information you have been giving about FUE has been invaluable and hard to find. I have a question for you. During FUE do you use a motorized FUE extraction tool or a manual tool or both? Thanks.
  9. I empathize with your confusion, most of us have been in your shoes. I studied for 9 months before I pulled the trigger on my first one, and ended up going to a different physician for subsequent procedures because I found Dr. Gabel to be a better option than my initial doctor. Go to doctors not robots, some good doctors use robots but sparingly. I also respectfully disagree about the merits of the NeoGraft, some of my esteemed peers differ with my opinion, but I don't know of a single reputable doctor that actively still uses one. Most doctors up to speed have abandoned it in favor of doing FUE manually or investing in an Artas robot. Most importantly be very discerning in choosing a doctor, truth be told there are probably less than ten you should be entertaining at all, that's how few are truly elite. Do not be afraid of travel to get the procedure done with the physician that is right for you. I live in Austin, Texas for example and have traveled far out of state thrice for my procedures because my vetting of out of state doctors led me to conclude they were what was the best option for me. Money of course is a reality for everyone, and to a degree you get what you pay for. But as a rule of thumb you can expect an elite doctor to charge 4 to 5 dollars for an FUT graft, and if they're one of the truly elite, they're absolutely worth the investment. That being said, I entrusted my restoration to Dr. Gabel in Portland, and his rates were comparable to far less esteemed doctors I could've entertained in a major Texas metropolitan, so travel for what I determined was a vetted and elite surgeon was a no brainier. In order to determine the legitimacy of a surgeon I recommend scouring this forum, scheduling online or in person consults with the names that capture your attention and cross examining what each of them says about your hair loss to build a general idea of what's best for tackling a restoration for you. A good doctor will offer both FUT and FUE, don't settle for a doctor that only does one or the other. A good doctor will also be able to provide you patient references to speak with about their experience. A reputable practice will have dozens if not hundreds of case photos for you examine, and in my experience I would show preference to doctors who have either board certified plastic surgery credentials or who once worked as plastic surgeons. Typically that background has a sound foundation in aesthetics. That being said, DO NOT go to a plastic surgeon who performs hair transplantation as one of many cosmetic surgical offerings, give preference to physicians who practice hair restoration specifically and exclusively. You can also inquire about whether or not doctors have performed restorations on fellow doctors, a good sign of peer respect. For example one reason I was intrigued by Dr. Gabel was that I learned he worked closely under Dr. Konior at one point (a very esteemed doctor in his own right) and even performed some restoration on Dr. Konior, a sure sign of great respect when an elite surgeon allows another surgeon to perform work on them. Similarly I believe Dr. Feller has performed hair restoration on Dr. Alexander. Little nuances such as this reveal a great deal about the work and reputation of a doctor.
  10. A good idea first would be to post photos of your situation to help people give you a more accurate recommendation. A very general claim would be that FUT or the strip procedure is best suited to large cases while FUE smaller work. Look into Hasson and Wong in Canada, also Dr. Cooley, Dr. Feller and Dr. Shapiro for some of the best FUT surgeons in the US. Well worth researching some of those names as a starting point and scrutinising their results for yourself, there's no short answer to any of those questions. The more research you do the better.
  11. "Who said a FUE procedure provides less good results than a FUT procedure?" Well, Dr. Bloxham and Dr. Feller do every single time they post on these forums. :confused:
  12. There is still a (low) possibility of substantial growth to come, Dr. Feller mentions a result in one of his vids where the vast majority started at around month 9. To be honest you used a very small amount of grafts considering the area covered. There was very little margin for error. In my humble opinion Konior's graft quote for you seems more on the money, and the truth is his FUE work is stronger.
  13. @Dr. Feller and Dr. Bloxham, Thank you for your response. I can not speak for Dr. Bisanga, but here is a piece written recently by him that gives an insight behind the philosophy of our clinic.
  14. Sorry, to be very honest, but you logic is flawed. 1. No one can tell you, what the difference between FUE and FUT in yield would be. There is a big dicussion ongoing in this forum and the numbers vary between 25-40 % in average (Dr. Feller) and 0-5 % in average (others). Personally I think 5-10 % (but this is really just a guess from a laymen). 2. With FUE you trade lower yield vs. a strip scar. The question is: Is it worth it? The answer depends on #1 (is the difference 5 or 40 %). Your case is different: You aleady have (!) a strip scar. You cannot do this trade any more. Your question has to be: Am I stripped out? If yes, you have to go FUE (or wait if you expect more less). If you are not stripped out, then you could even improve your currrent scar be another strip. Why go FUE then? Add FUE scars and risk potentially lower growth just because of a longer downtime with a FUT (with better growth and maybe a smaller scar than before) sounds like a bad decision. Good luck!
  15. They both have different design philosophies. Dr. Cooley seems to go for naturalness above all else and would perhaps be a bit more conservative in the temples while others would prefer Dr. Feller's straighter hairlines, of which I myself and quite fond.
  16. Sorry, Dr. Bloxham, All answers I have read from you so far come across thought through, balanced and highly informative. We have a great discussion in the mFUE thread of yours. Well, actually you are giving great answers to my questions. 1. But to call the differences which I highlighted "semantics" is embarrasing to you and me. 2. "More variable" and "75 % growth rate" (not even overall yield) of FUE relative to strip is hardly the same. And do play the math game: Dr. Feller was actually claiming 75 % as a starting point! The average has to be much (!) lower based on his statement. As an example: If strip is at 90 % (4 %-point higher that the Beehner study) and the average of FUE would be 65 % (my assumption of Dr. Fellers <75 %) of FUT the overal average growth rate of FUE is: 58.5 %. If strip is 95 % and FUE at 70 % of that (very close to Dr. Feller max value) it is still only 66.5 % overall. 3. Do you agree with this numbers? Yes or no? Again, I have a hard time to believe this numbers (58.5-66.5 % FUE growth in average in a good clinic). I believe (!) FUE has to be (!) lower than FUT, but I do want correct numbers, so that we (patients) can make wise decisions.
  17. NO ONE is arguing against this, and no one is defensive on this point. What thread have you been reading? Is it that hard to actually READ the arguments made by the side you're not cheerleading for? I know its easier to create a straw-man than address legitimate points, but come on. Not a single post here has argued that FUE yields are as consistent or high as FUT on average, and no one has argued that FUE alone will be the best way to utilise precious donor area. The argument with you and Dr. Feller are so fantastic at avoiding and providing strawmans for is simply that FUE is a viable method for extensive loss, the yield for the best FUE surgeons (Dr. Beehner is not one of them) is consistently in the 90% range and the average donor can handle over 5000 manual FUE extractions. Cry about FUE forces all you like and grafts being "ripped" from the scalp (similar manipulative language to Trump in the debates referring to abortion as involving the baby "ripped" from the womb), it doesn't make the fantastic and consistent results of certain doctors like Lupanzula and Erdogan that rival any FUT doctor any less real, whether or not you would like them to go away. Is FUT the more appropriate method for the majority of patients? Most likely. Will FUE achieve the goals of the patients who opt for it, including not having a strip cut from their scalp? For the majority going to a top end FUE surgeon, it most certainly will.
  18. You didn't address the fact that you made up the 75% number or simply took it from Dr. Feller's quotes. You didn't address the fact that you quoted a study on FUE by a doctor who has only done 80 FUE procedures over 9 years. Your stance hasn't changed IN SPITE of the evidence. You'll continue your tune no matter what unfortunately, even if that means making things up or quoting bad data by an FUT surgeon who opens his study stating that FUE is a poor procedure and doesn't state a number of important controlled variables such as holding solution. The crux of your argument is backed up by evidence; FUT grafts are of a higher quality and have less force ultimately inflicted upon them, and these will on average yield higher. FUT for the average patient will also yield more lifetime grafts than FUE. Beyond this, why do you have to make things up and quote bad data on FUE that's either fifteen years old or by a surgeon who has barely done FUE? Why make up the 75% figure when European surgeons such as Lupanzula, Feriduni, Erdogan and Keser have studies and results counting yield to confirm this is not the case? Hasson + Wong even state on their website that they believe they can "cherry pick" grafts with FUE and that the yields are equivalent. They also noticeably studied and learned FUE techniques from Dr. Erdogan, not Dr. Feller for example. Everyone here who has researched and looked at hundreds of results from doctors across the world is aware that you are exaggerating on your criticisms of this debate, whether or not the principle is correct. It sounds ridiculous because people only have to look at the FUE section of this website from the past year to see that your claims are unfounded. It isn't a good look. The fact is that there are FUE doctors yielding over 90% on a consistent basis and more and more doing cases moving up into the 6-7-8000 graft numbers through FUE across multiple procedures. 5000 FUE in a single pass is visible on various forums on a daily basis and from surgeons like Erdogan not only does the average donor look pristine a few months post surgery, 95% look pristine, totally at odds with claims that more than 1500 is unsafe or that FUE isn't suited to megassessions.
  19. Yes it is the truth indeed, but what you mention say now is totally different than the sound of what Dr. Feller (and maybe partly you, I am not sure though) say otherwise. Remember: That Thread is not listed as "Before FUE you should find a great FUE clinic which screens meticulously" it is called "Why not have an FUE". And typical quotes are not "If you are a good candidate and chose a clinic you can have results close to strip". The typical quotes are: "Growth rates from FUE usually start at 75% that of FUT and go well down from there. That hardly counts as marginal" "What I can't understand is how the poorer growth guaranteed with the FUE procedure is NOT a deal breaker" "just as fair to describe your scarring from your FUE procedures as a massive amount of shotgun holes" I assume you see the difference between your statement and the typical statemens in this thread. By the way: - Dr Lupanzula and JeanLuc gave some arguments why the FUE results in the "Beehner studies" might (!) have been so low. I am not saying this is the only reason. - Do you have an idea why his strip results were so poor. Or do you think 86 % growth for FUT/FUSS is normal?
  20. Dr. Feller, I have very limited time to discuss these issues as I have 12 hour work days as well as a young family to tend to so I will address what I can with the short window of time at my disposal. Before I do, I would remind you that my name is not “Dr. L”. My name is Dr. Lupanzula. Thank you. I’m surprised to read this because I was not aware of any surgeons performing FUE 17 years ago with regularity except for one and he was not in North America. It wasn’t even introduced into North America until 2002 which was 15 years ago. Who else was performing FUE seventeen years ago? I do not see the connection between hearing these points before and their accuracy with regards to truth today. Logically, the points would be more valid today than they would have been 15 years ago (or 17) as there would be fifteen years of experience to back it up. In my opinion, this is the case with FUE as the early years could not have logically provided the view that we have today as such experience to give valid conclusions simply did not exist. This is not a slight in any way, but is a common sense. Is it not logical to understand something in life better with fifteen years of experience under one’s belt rather than having only six months of experience? Regarding the studies you cite, I would like to address them both along with the contradictions. In the Beehner study it was noted that everyone involved in the procedure had eight years of experience however the total number of procedures having been performed in those eight years was ninety procedures. This is the equivalent of having performed less than nine FUE surgeries each year. Nine. I appreciate the information in this study but the experience level is not the same as one that does the same number of procedures in eight days as opposed to eight years. In addition, as you stated, a manual punch is and later yet this study you reference was using a motorized continuous rotation punch. Furthermore, the author stated With regards to the FOX test, I think it is safe to say that this falls under the “experience” category that I referenced earlier and I disagree that a paper written with experience garnered from various small scale tests applies to an entire industry after fifteen years of discussion and sharing among peers. With all due respect, to believe that nothing has changed in fifteen years is paramount to walking with blinders. And this begs the question; if we have a study that shows something is problematic, do we simply give up, thereby creating a truth that validates the study through inaction and lack of effort to improve? I do not know you, but from your comments, you do not appear to be one that allows studies by third parties dictate how you run your practice. My comment about torsion is not incorrect as you are assuming the follicle to be completely rigid, which it is not. I specifically said that torsion is not an issue if the distance traveled in the oscillation is short. This is why manual oscillation that is controlled from an experienced practitioner is the superior method compared to continuous rotation. There is a difference. The “hand over hand” method you reference does not by definition require significant compression to be applied at all points of contact. In fact, your incorrect assumption is the point of contact itself. I can go into detail but I did not intend for this to turn into a tutorial and these are points that I teach to my students that must spend a minimum of six months in my clinic, many times up to a full year, learning the correct FUE method. Interesting. Comparison of survival of FU grafts trimmed chubby, medium, and skeletonized Beehner-2010 (Their terminology, not my own) In the spirit of sharing research I found this information to be particularly interesting. - Dr. Feller, November 16, 2002 http://www.hairrestorationnetwork.com/eve/145487-another-question-dr-feller.html What has changed since your own research showed a yield that is "higher" than "a dissected strip"? This is largely a rhetorical question. Dr. Feller, I appreciate your passion in this subject and it is this type of vigor that translates well to believing in your craft as you present it to your patients. If you do not believe, you are not genuine and this is against our oath. However, I wish to be clear. I am not here to convince you of anything as it is clear that you are steadfast in your beliefs and I do not believe I am the one to change your mind, nor do I wish to be. I recently heard of you and of your position and comments and felt that some balance should be presented to the issue. Do we have enough raw data for conclusiveness across the field? No, because the field itself is rife with misrepresentation of the highest degree along with a multitude of inconsistencies for an equal multitude of reasons. In this absence we must rely on our own experiences and those of our colleagues that are willing and eager to share, and in turn learn themselves, and this is what I do with my own teachings to my students. I do not conduct weekend seminars and I do not hold video workshops. I take the art of FUE and my oath very seriously, and make no mistake, proper FUE is an art indeed. Physicians that wish to learn from me must reside in Brussels for a minimum of six months if they are already experienced hair restoration physicians, and one year if they are physicians that are not experienced in hair restoration surgery. This procedure is infinitely more difficult to perform compared to strip surgery thus it requires an understanding, dexterity and touch that cannot be achieved with anything short of extreme repetition, practice and passion and these are the forces that are , in my opinion and that of my colleagues, far more powerful than torsion, compression and traction. Good day.
  21. I think almost anyone in this forum and elsewhere could agree with this assessment. From my standpoint it is thought through and sums up almost the entire story. However, I have a hard time to align this content with the posts of Dr. Feller and with the numbers you (Feller and Bloxham) quote (Average growth rates).
  22. Dr. Beehners studies on FUE are a joke and for any serious doctor to reference these is laughable. A study of his on survival rates from July 2016 to the ISHRS of which the opening lines criticise FUE and labels FUT the "gold standard" does not even mention the holding solution used for grafts, and mentions that although he considers himself an above average FUE physician, he has only conducted EIGHTY FUE PROCEDURES IN OVER 8 YEARS. How can you possibly conduct a study like this without mentioning holding solution? He also says he is only experienced in FUE procedures averaging around 500 grafts. There are also multiple photo sets in the study of a set skeletonized FUE grafts in contrast to chubby FUT grafts. I have had an FUE procedure and seen the grafts, and they look absolutely nothing like the destroyed grafts in this study. Studies and patient graft counts by Dr. Erdogan and a small experiment with Dr. Keser achieving over 95% yield with FUE exist for any to see. As suggested by Swooping and Dr. Lupanzula prominent FUE doctors that also are heavily experienced in FUT don't feel they achieve a significant difference in yield. Anyone can throw around studies to prove their point, and it is extremely telling that anti-FUE doctors cite studies by doctors like Beehner who are totally inexperienced at FUE when expressing their views. Why cite a study on FUE by a doctor who has performed less than 10 FUE procedures per year and doesn't do more than 600 grafts at a time on average and biggest FUE procedure was 1300 grafts? None of that to discredit Dr. Beehner as a highly competent FUT surgeon, however you can't take a study by someone inexperienced with FUE to compare FUT results seriously. A legitimate study requires an exclusively FUE doctor who believes their work equals FUT such as Lupanzula with a doctor like Feller and comparing yields on the same patients in the same facility with controlled variables. Data comparing results by a single doctor with a single set of controlled variables (and in this case not a legitimate FUE doctor) is just that, results of a single doctor, under their own conditions with non-standardised tools.
  23. I understand what you are referring to, but I'm not sure Dr. Bisanga was stating the same. However, it's not worth getting into too deeply because for me, it doesn't change the crux of the argument: Dr. Bisanga -- who has the ability to offer both high quality FUT WITH an appropriate staff and FUE -- states that not all patients are candidates for FUE and meticulous screening is necessary. Despite the belief of some, Dr. Feller and I are not "against" the FUE procedure. I do them all the time. But it must be done under the right circumstances. And this is what Dr. Bisanga touches upon. Now, I will take it one step further and state that even under the best conditions, the outcome is still MUCH more variable compared to an FUT of similar size. But what we have spoken out against heavily is the practice of "FUE for all," and even worse is "FUE megasessions" for all. This we take issue with.
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