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  1. Hi Guys. I am a new member. I was about to go ahead with my hair transplant with Dr Matt Huebner untill i found this website. Can anyone who had a hair transplant with him share your experience and pictures. Some one did mentioned in one off the past that Dr Huebner does not do Fut Instead he does mini graft surgery. Any prove ? Plus i came across Dr Feller & Bloxham. Why are they better then Huebner. Would really appreciate your feedback. Thanks C
  2. I thought Dr. Alan Feller was recommended on here? I don't see him on the list. I've heard great things about him. Is Dr. Rahal the only recommended doctor in Toronto? It's a huge city, so I would have thought there'd be more great options
  3. Oh that's interesting. It used to be free when Dr. Feller was the only Dr. there. That was a while back though. I had a consultation with him about 10 years ago. I wonder if the fact that a lot of people are getting multiple consultations is causing some places to have to charge now since they may be doing many more consultations that don't result in the person having their surgery with them. Hmmm....
  4. I don’t know much about the medical field as I am not a doctor but Dr Lindsey is a plastic surgeon with a FACS board certification that trained under dr feller. Dr. Diep is a graduate from some Caribbean medical school that trained under dr rassman at nu hair clinic. Does that give any insight? You tell me btw r u Indian? U said you were consulting with eugenix correct? I’d be curious to see what they recommend
  5. 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.
  6. If you live in Canada why not consider Dr. Rahal, H&W, Feller and Bloxham aren’t that far either. Given that you will likely progress to a norwood 6 you may want to maximize grafts by going strip first. The price of strip is comparable to FUE.
  7. Nice work Dr. Bloxham. Looks very good. Wow....Dr. Feller may be $10 per graft? He produces very nice results but It still amazes me the disparity of costs per graft from excellent surgeons on this network. I’m used to $4-5 per graft with every graft extracted and inserted by the surgeon. I’m not trying to be critical because I’m a free-market capitalist. So...good luck to those surgeons charging quite a bit per graft. Glad we have a wide range of surgeons to pick from on this site.
  8. Do you use the "stick and place" technique when performing fue cases? Also do you charge the same as Dr. Feller for FUE, which is if I recall correctly something like 10 dollars per graft. Also, what is the best way to contact you? I admire your work!
  9. Hi Everyone, Today's presentation is a nice little FUE hairline case. The patient is a gentleman in his late 30's with otherwise excellent hair aside from some classic hairline thinning. He was set on FUE and initially wanted to go very aggressive in the front. After reviewing everything, we decided the most natural, strategic approach was to start a little more conservative. So, we did a 1,500 graft case to rebuild his hairline. I removed all the grafts manually using a 0.9mm Feller Medical Punch (a punch Dr. Feller patented many years ago). Extraction went very well. I saw the patient back 12 months later, and both he and I were very pleased with the results. Since he grew well with the FUE and the back seemed to heal up nicely, we decided to do a little more and close in the corners a bit. I will update with the results of this second procedure in the future. Here are a few "teaser" comparison shots with both dry and wet hair. As usual, I include only a few of these because I encourage all researching patients to watch the result video, which features both educational content and a much more detailed "comb-through" of the results. And here is the video: Thank you for reviewing. Look forward to the upcoming discussion. Dr. Blake Bloxham Feller & Bloxham Medical www.fellermedical.com
  10. Today's case is an example of a nice little hairline repair procedure. The patient in the video had "1,500 grafts" (a big emphasis on the quotation marks there) at an outside clinic years earlier. He had great hair elsewhere and just wanted to fix some slight hairline recession. The clinic used follicular unit grafting, but simply did not go dense enough in the frontal band/hairline. The result was less than impressive, but the patient assumed this is all he could achieve and lived with it. Years later he did some research and realized that, maybe, what he had was not standard of care and decided to seek out another procedure. He presented to our clinic excited at the prospect of improvement, but somewhat skeptical that what we did here was different. Because of this, a conservative approach using 1,200 grafts was undertaken. The hairline was not lowered or adjusted, just addressed using dense packing. He did well and was thrilled with the results. Several years later after realizing what can be achieved with a hair transplant, he came down with a little bit of the "hair greed" and decided he wanted to flatten the hairline a little bit and really get that perfect density in the front. We used another 1,200 grafts to perfect it. He came back 3 years later to show us the results. Here are a few "teaser" comparison pictures. I only share a few because I really encourage everyone to watch the detailed comb-through video. Remember that there is only so much you can get from still photographs. Ask clinics you are considering to show you comb-through video! I wanted to state that we probably would not have recommended using so much donor in just the hairline IF the patient had any other signs of hair loss elsewhere. But because of his age, family history, and the fact that we (both Dr. Feller and myself) had seen him over a period of around 7 years with no noticeable change, we felt comfortable accommodating his request. I also wanted to thank this patient for allowing us to use his full face. And here is the video: Thank you for viewing. Look forward to the discussion. Dr. Blake Bloxham Feller & Bloxham Medical, PC www.fellermedical.com
  11. On March 18, 2019 I had a 2000+ graft FUT procedure with Dr. Bloxham in Great Neck Long Island NY. Even though I'm only 4.5 months out, I'm already very pleased with the results. And I'm aware this isn't even the final result yet. So I wanted to share my before/after pics for those who may be considering getting a procedure in the future with the hopes my story/results might help. Quick back story: I had two small procedures in the early 2000s as my hairline was beginning to recede. The hair transplant company that did the procedures is now defunct. The results were sub-par but, if styled a certain way, I thought I could sort of get away with not looking so bald (sort of a comb over effect. But I probably wasn't fooling anyone, haha). Over the years, my hairline continued to recede pretty far back. So in 2016 I decided to have another procedure. I'd prefer not to name the doctor publicly as, although there was some improvement, the results weren't so great and I don't want to smear anyone's name or business. But if you're considering getting a hair transplant and would like to know, feel free to PM me. Or if you have questions in general or would like to talk regarding my HT experience, reach out to me at jamesnyt10@gmail.com. So at that point I had three procedures and still had sparsely transplanted hairs. I just assumed that maybe my physiology just didn’t allow most of the grafts to survive. But in 2019 I begrudgingly decided to give it one more chance with a new doctor. I researched several surgeons and decided to go with Dr. Bloxham at Feller & Bloxham. Not only was I impressed from seeing all the results and info on their YouTube channel, but in addition, his customer service from the very beginning was truly outstanding. So we had a consultation (actually a few) and he recommended a roughly 2000 graft FUT procedure. As I mentioned, I had it done on March 18, I'm now 4.5 month out and the results have been exactly what I had hoped. I included before and after pics and will post updates every so often. But even though I'm only 4.5 month out, I'm already very satisfied with the results. For the first time in my adult life, I don't appear to be balding, thinning, or have sparsely transplanted hairs. My story is a testament to the fact that results can truly vary depending on the surgeon. I included before/after pics.
  12. Hi Phil, I always try to make the time -- though I will admit that I am falling behind on answering private messages, and I do apologize to anyone waiting for a reply! I truly like being a clinic that can offer patients both FUT and FUE. And not just in name only. While I think I have made my reputation with FUT and I am a very vocal proponent of it, I perform FUE every single week. We have an OR specifically for FUE; we have a staff cross-trained specifically for FUE (who have been assisting in the FUE process since 2002); and I feel very blessed to have learned manual FUE from my partner, Dr. Feller, who was one of the first three to perform the procedure in North America (the others being Dr. C in Atlanta and Dr. Jones in Canada) and someone who has multiple patients and publications in early FUE development. So, long story short, I think we do have the ability to recommend and offer patients both. I do not think there is a strict, binary decision as to when a patient is a candidate for FUT versus FUE. From a strict mathematical and scientific standpoint, I absolutely do believe there are instances where one should be utilized to the exclusion of another. And in these situations, it will absolutely be my recommendation to use one versus the other. In the real world, however, patients have different long-term goals, different lifestyles, and sometimes what may be the best technique on paper is not the best one in practice. So I do my best to come up with plans and approaches using both methods when patients request it or ask for one above the other. When they simply ask for my opinion, I try to always be objective as described above. Here are some generalizations about when I think you should do one above the other or who is a good candidate for FUT over FUE: Start with FUT: -Young patients with uncertain futures and all but guaranteed progression -People with advanced hair loss -People with limited donor (as long as the limitation is not the density; in patients with very low densities, I actually usually recommend conservative FUE) -Patients who need critical hairline work and cannot risk yield (print models, film actors, etc) - Patients who are likely to want to do more surgeries up the road -Patients with hair types that I do not believe will do well with FUE: very fine, light hair (fragile follicles), certain ethnic groups, etc -Patients with a lot of laxity or very "stretchy" or "mushy" skin -- which I believe will either deform or distort and just not let us accurately score the grafts -Patients who want to do the most possible in a single sitting Start with FUE: -Patients with obviously stable loss only requiring a small amount -Patients who must keep the sides very short (certain military guys; certain actors with crazy film/studio contracts; etc); however, you cannot undersell the scarring to these individuals because it is not a scar-less procedure -Patients with very tight scalps or very low density where the "scarring to graft number" ratio is just not good enough with FUT (IE: taking a 30+cm strip and only getting out 1,200 grafts because the scalp is so tight and the strip was thin or the density was so low) - Patients happy with their prior strip scar who just need a little more work -Patients with prior strips who cannot undergo any more -Patients requiring less than 1,500 grafts (which I now still split up into two days as I like doing everything manual and staying very involved with FUE procedures) - Patients who are not 100% ready to commit to transplants but want to "test the waters" a bit first (again, we need to be careful not to oversell anything to these patients) Surely I am forgetting a few here, and this list is not all inclusive; however, good generalizations. In patients who are not concerned with the scar or want to get as much as possible (the majority of patients) or just want to go with what I recommend, FUT is typically a great starting point. I also offer a "modified" approach to FUT where I break up the strip into smaller 2cm pieces, which are somewhat staggered and broken up. It allows patients to go a little shorter on the sides and the scarring, if it is seen, looks more like trauma than a telltale surgical scar, so it gives people a little more wiggle room up the road. I have probably shared a few of these cases on here before, and I will share more in the future.
  13. So, I had a procedure w/Dr. Feller in 2004 (my 1st large strip procedure of 2,250 grafts). Any really good doctor should leave a very small FUT scar on a virgin or near virgin scalp. It's only 2.5K grafts. It's when you are going for the 5K or 7.5K total of grafts where it gets tricky ('cause of less laxity). Regardless, very nice 1st surgery. Patient has very good hair characteristics and great donor and fairly limited hair loss overall compared to NW5 or NW6. Still, if this was to be his 1st and last transplant he should have gone FUE because then he can shave down much lower if he desires in the back. I don't know his hairloss history or if he is going to do his crown or vertex though?
  14. I have heard them described as "snowflakes;" I have heard them described as individualized "works" like paintings; regardless of how they are described, one thing is for certain: hairlines are not a "one size fits all" type of situation. All patients are different. Things like hair characteristics, facial structure/head shape, level of loss, and projected future loss all come into play when designing a hairline. Some situations call for a lighter, more broken-up and irregular "transition" hairline; in other situations, patients may benefit more from a stronger, denser, more symmetric hairline. No two hairline should be alike and a doctor should customize the design for each particular patient. And remember, just because a hairline looks good on another patient does not mean it is the right one for you. Today's case is an example of a specific hairline created for a specific patient. The patient is a male with darker, coarser hair, and seemingly more limited and stable loss for his age. He requested a strong, dense frontal hairline (he was happy with the corners), and I thought this made sense for him. In his situation, a more striking, strong, less irregular hairline made sense for him. I performed a hairline rebuild, a dense frontal band pack, and also a little bit of fill behind it using 2,400 grafts removed via the FUT technique. He returned at 6 and 12 months, and was very pleased with the direction we took for the hairline. Here are a few "teaser" shots of his 12 month results from the video: And here is his 12 month comb-through video, which features much more detail and also a look at his FUT incision line at 12 months: And here is his 6 month video for comparison: So I hope this helps explain that hairlines are not a "one size fits all" approach, and you must visit a clinic which will spend time creating a specific hairline for you and you alone. Make sure to see lots of examples of different hairlines from any clinics you are considering, and speak with the doctor about their hairline philosophy. Look forward to the discussion, Dr. Blake Bloxham Feller & Bloxham Medical, PC http://www.fellermedical.com
  15. While planning a procedure, patients frequently ask if we can "close the corners." What they mean by this is whether or not is is appropriate and possible to close in the angles in the fronto-temporal corners and rebuild some of the temple region. Working in these regions often results in a very aesthetically pleasing result. A frontal rebuild including these regions is a little more aggressive and often recreates a nice balance. And while a lot of patients request work in these areas, it is important to note that it is not for everyone. It takes a specific hair loss pattern, hair type, and the right clinic to pull this off. Those with thick, coarse donor hair (even the singles), a stark contrast between the hair and skin color, and those with advanced or uncertain hair loss should likely not transplant in these areas. As tempting as it may be, it may not look correct and grafts may be better used elsewhere. In the right patient, however, the results can be great. The patient in today's case is a male in his early 40's with moderate frontal thinning but somewhat significant thinning in the "corner" regions. He really wanted to address these areas, and based on his hair loss pattern, history, and hair/skin type, I thought he would be a good candidate for him. We utilized 2,500 grafts to densely rebuild the superior portions of both temple triangles, the anterior portion of the parietal "humps" (the vertical portion running from the temporal triangles to the fronto-temporal corners), close the frontal temporal-corners, and pack the entire frontal band. The patient returned only 6 months later and was very pleased with the results (as were we). The decision to "close the corners" was a good one for him, and I believe we achieved the desired balance in the frontal region by closing in and rebuilding these areas. Here are a few select "teaser" images showcasing the result (both wet and dry). Attached are more before and after comparisons (both wet and dry), and below is the detailed comb-through video. As usual, I highly recommend that all patients watch the video. Video is the most honest way to display a transplant result, and it is what you as a prospective patient should look for. Look forward to the discussion. Dr. Blake Bloxham Feller & Bloxham Medical, PC www.fellermedical.com
  16. he's been a part of this community as far back as I can remember, maybe when he was in medical school and certainly before he agreed to join forces with Dr. Feller - Dr. Feller, who I highly respect, called him a hair "nerd", which is to say the man knows his stuff -
  17. I have been corresponding with dr bloxham by email. I was surprised with how fast I got responses from him. Great guy and i am very appreciative that he took the time to reply. Through email, we agreed on 1500 grafts using mfue I believe it is called. So instead of having a huge fut strip scar, I'd have 4 to 6 small 2 cm donor areas in different spots in my head. I am just curious to hear from others who have chosen dr. Bloxham before I book a appt. I started losing my hair since my mid 20s. Started using minoxidil at 26 and finasteride at 32. I am 41 now with pretty much only hairline issues. Just wanted to make this post and hear from others who have had this procedure done or who have used dr. Bloxham. He is my top choice to do this now that feller seems to no longer do it. He did a ht on a guy I met who had it done 10 years ago and it turned out very well. Anyways..hope to hear responses so I can book the appt. I dont think I ever had to make a harder decision in my life. It is a lot if money and scars can prevent a shaved head if I am one of the unlucky ones who doesnt have a result.
  18. The patient in today's case is a young man in his 20's who initially presented to us with a pretty reasonable request: he wanted to grow his hair long again. He did not want his hairline lowered, he did not want his corners rebuilt, he just wanted to get away from constantly shaving his head like he had been doing since his hair loss became "bad." When the patient first noticed his hair loss, he tried to keep his normal, long hair healthy by taking Propecia. Unfortunately, he suffered side effects and had to stop. As his hair continued to "miniaturize" it grew shorter and shorter, and he eventually resorted to simply "buzzing" his head -- something he was not a fan of. He came to us restore the ability to grow his hair long. He reported always having a "higher" hairline, and he wanted to keep this. We used the remnants of his existing hairline -- starting behind these to take advantage of their irregular and soft nature -- to rebuild the hairline and pack back through the mid-scalp. He was okay to not address the crown/vertex at this point because he believed it was still strong enough to grow longer and blend with the transplants. We saw him again a year later and he was very pleased to have achieved his goal. Because we started as an FUT he still has plenty of donor left to address the crown in the future (which he likely will want to do), and he can always go a little more "aggressive" in the front once the top is completely stabilized -- though I will admit that I really like the longevity of a conservative front. Here are a few "teaser" images from the video. I only include these because I really encourage patients, especially young patients, to watch the detailed comb-through video. "Teaser" Images: HD Video: Look forward to the discussion. Dr. Blake Bloxham Feller & Bloxham Medical, PC www.fellermedical.com
  19. Hi Everyone, Today I wanted to share another 2,500 graft FUT case. The patient is a Spanish male in his late 30's with pretty advanced and diffuse hair loss. He has been on finasteride for 5 years but continued to see a steady progression of loss. He came to us with the goal of densely rebuilding the frontal half of the scalp and strategically working into the mid-scalp. He plans to do another procedure to address the back up the road, but the front was the priority and he believed he could "manage" the back much better with transplants in the middle and front (and I think the way he is styling his hair as viewed in the "top down" shot shows that this worked quite well). We tackled this using 2,500 grafts via the FUT technique; he came back for a follow-up 12 months later and was very pleased with the results -- as were we. Below are some before and after comparisons and a video. As usual, I recommend that everyone watch the detailed video which features comb-through (wet and dry) footage of the result and his incision line (strip scar) at 12 months post-op. Look forward to the discussion. Dr. Blake Bloxham Feller & Bloxham Medical, PC
  20. Today I wanted to present what is likely our most common and most "classic" case: the 2,500 graft -- or 2,600 graft in this instance -- FUT case. While we see patients with all types of hair loss, it seems like the most common are males with advanced -- or advancing -- hair loss, and we typically say they will likely want to do two procedures over time: a 2,500-ish graft FUT mega-session now for the hairline, frontal scalp and transition into the mid-scalp; and another 2,500-ish graft FUT mega-session later to finish the mid-scalp and address the crown. Doing two large FUTs tends to, in my opinion, provide good coverage from "front to back" and leave patients in the best situation for the long-term. They should have a good incision line scar and plenty of grafts left for more potential work (done via FUT or FUE) if needed. So here is one of those "classic cases:" Male physician in his late 20's headed to a NW V-VI pattern; we recommended two planned FUT procedures of approximately 2,500 grafts a piece; he did the first (hairline, frontal scalp, and mid-scalp transition) in winter of 2017, and the second (finished the mid-scalp and crown) in winter of 2018. Here are a few comparison pictures of his 10 month results from the first procedure. As usual, I highly encourage all to watch the video. Video is the ULTIMATE way to present a hair transplant result. This video includes the result, detailed comb-through (HD), and footage of the incision line (FUT scar). Photos: Video: Thank you for reading and commenting. Dr. Blake Bloxham Feller & Bloxham Medical, PC (www.fellermedical.com)
  21. Hi all! On may 16th I had the blessing of being operated on by Dr.Bloxham Dealing with two procedures in which the density was very poor had me very hurt and felt like I lost hope. Dr. Bloxham was very understanding and in a genuine matter made it seem like he was on a mission to help me! This is my third procedure I will document my journey to help others! Dont lose hope. I'm really hoping 1216 grafts is enough for that very dense front and decent sides that I have been trying to get Overall as a young guy these procedures took a huge toll on me financially, since I've been basically on my own since I was 18 and have very little relationship with family. I'm hoping this is the last speed bump and I can move forward confidently. Pictures: 1st - no procedures 2nd - no procedures 3rd - Final result FIRST procedure (temples were still extremely weak just didn't have a pic of that side so it's looks decent but it's not) 4th - 7-8 months result of SECOND procedure 5th 7-8 months SECOND procedure temples 6th - day of surgery Third Procedure 7th - day of surgery Third Procedure
  22. Dev, While it is unfortunate you had to stop the preventive medication, I do not think you are in bad shape here. The approach you took with the hair transplant was perfect for someone in your situation: FUT mega-session with a conservative hairline. You -- and the clinic -- put yourself in the absolute best position for the "long term," and this is regardless of whether or not you are on preventive medication. You are set to continue with surgical restoration if you do lose more hair, and this is probably what you will need to do. Not a bad position to be in at all. Just continue with FUT until you cannot do any more, and then switch to FUE if you need or want more work (including putting some grafts into the scar). I frequently work on patients who cannot or simply will not utilize preventive medications, and the goal with these patients is to start with the approach you took here and move forward as I outlined above. So while more surgery may be in your future, I think you are probably in pretty good shape here. And, by the way, the work looks great as well. I hope this helps. Dr. Blake Bloxham Feller & Bloxham Medical, NY
  23. All individuals experience hair loss differently. We frequently see patients with small changes or confined areas of thinning who almost feel guilty coming in to see a hair transplant doctor because their friends, partners, and family continually tell them that the hair loss is "nothing" and they should just "forget about it and move on." However, it is a big deal to these patients and the psychological stress and distraction from the hair loss often prevents them from focusing on bigger, better things. The patient in today's presentation falls into this category; he is a male who, most outsiders would probably agree, had quite "good hair" in general. I do not think the average person on the street would ever think he was thinning. However, he came from a long family of males with "perfect" hair, and, although his hair was still "good," his hair was simply not as "good" as it used to be. He had some pretty classic thinning throughout the entire frontal band, and really just wanted to thicken it. Long story short: despite the minimal amount of hair loss he had, this was bothering him and he was ready to take care of it. I discussed the reality of the situation with him thoroughly and I did believe he could "beef up" that area, and I also felt confident that it was unlikely (though not certain) he would progress to advanced hair loss. Regardless, we decided to start him off as an FUT to hedge our bets and leave his donor in good shape in case he did need a significant amount in the future. We ended up utilizing 2,100 grafts to place his hairline back where it originally was (frontal hairline only, no temporal hairline work needed) and densely pack the frontal band. He visited us 6 months later, and I was very pleased to see that the worry and distraction his hair loss caused him had vanished. Here are a few "comparison" shots of his case. Below is a detailed comb-through video which includes footage of his incision line. I highly recommend all interested patients watch the video. Remember, hair loss is about identity; if you feel off, distracted, or stressed by any changes in the scalp, it is okay to see a hair restoration doctor and discuss your options. There is nothing wrong with taking care of this, despite how some may make you feel. Thanks for reading and watching. Dr. Blake Bloxham Feller & Bloxham Medical, PC
  24. Hi, folks. Finished my HT with Dr. Bloxham in Tuesday. Great experience working with him, his crew, Cathy, Bella and others. Very professional and kind people. This is likely my last HT as my donor area is pretty tapped out from previous HT's. These last two procedures with Feller-Bloxham ( 2013 and now ) were the best experiences I had by far. Now comes the waiting and hoping that my scalp heals up well. I may do SMP in the future but will wait and see how this new HT grows out. I highly recommend Dr. Bloxham and his staff to anyone who has experienced substandard results previously. They are the best in my book.
  25. Hi, conan. I'm in the same situation. See Upcoming FUT with Dr. Bloxham . From my pix you can see I've lost a ton of hair since my 20's. From your pix, brighter lighting and uncombing your hair over the thin areas would provide a bettter idea of your back 2/3's hair situation. You should get evaluated by a good surgeon-- in person, as you noted-- to make sure he can examine your scalp closely. Dr.Wong is a great surgeon I've heard. I'm down to my last HT. I've chosen to do it with Dr. Bloxham this Tuesday ( the 30th). I'm very excited about this. I'm 60 yrs old, so my hairline pattern is pretty much established. Now, given my extremely limited donor area I'm down to my last HT. I considered a number of surgeons before deciding on Dr Bloxham. I'd had a transplant with Dr. Feller in 2013. The results were great, but now Dr. Feller has reduced his schedule a lot. So I chose Dr. Bloxham at the same practice ( Feller Bloxham Hair ) and am very confident he will do a great job. I met with him at the end of last year. He's a great guy, very trustworthy, and understands difficult cases like ours. I've had previous HT's with different surgeons in the past. I wish I'd discovered the Feller-Bloxham practice from the beginning because my first HT's with other surgeons were bad. Not that much scarring, but the big plugs they used in the 80-90's required remedial work. Anyway, if I were you I'd choose your "Option 1- keep the meds and do another surgery." That would preserve your hair in the back 2/3 's and give you the most options in the future. With your limited available donor area I think that's your best option. Don't stop the Finasteride. I agree with what others said, it's not going anywhere. And it's doing its job; you're not having any side effects, so all's good. I'm also considering SMP in the future for adding the appearance of greater density. Would you consider that as well for your crown area?
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