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  1. Read and look at what HTSoon posted to you. It's already been stated why he's a bad choice. He's a highly competent marketer but he isn't performing follicular unit transplantation in the sense that hairs naturally occur in the scalp like all modern hair transplant surgeons should be doing to achieve natural results. People with experience are telling you to avoid him for a reason, this isn't the time to blindly follow your impulses or fall for marketing and pathetic TV advertising like on Dr. Oz (who you yourself admit doesn't have a great reputation). And yes Dr. Feller would be a much better choice, or Dr. Bloxham at his clinic.
  2. C'mon dude! If you do in-depth investigations into hair transplant history you will NOT let him operate on you. I can't be any clearer. Dr. Feller is top notch and in the biz for over 20 years. Frankly, you seem resistant to other suggestions of top USA FUT surgeons except for Huebner. Man oh man - can some other posters get in here and show him the light? Frankly, if this is your last 'strip' surgery - consult w/Hasson and Wong. They are known for great yield and consistently have the largest sessions of FUT surgery docs in N. America. Their techs are consistently rated A+.
  3. Click my profile pic to see my present condition. I'll check out Feller more carefully, but it seems like there's some real dissatisfaction with his results and demeanor. This concerns me. I still don't understand why you object to Dr. Huebner. I've been researching him and so far he's looking like an excellent practioner. His density pix seem impressive, and his reviews from past patient reviews are extremely high.
  4. Hi, Please cross Huebner from your list. Don't go down that path. I had 2250 FUT/FUSS transplant from Dr. Feller in 2004. He is a bit conservative w/his strip size; completely competent & his staff is excellent. He's a top- tier strip surgeon in the USA. Down to earth, modest office complex in Great Neck & doesn't put on airs. A doctor who treats each patient w/care and attention to detail. Good pre-op discussion and realistic expectations. He's had work done so he also knows what it is like to be a hairloss sufferer as well. I don't care for flying into Long Island and the traffic - other than that. No problems. He has alot of older videos on youtube he posted from his car and house and basically discusses all kinds of stuff I found pretty interesting - even though I'm older and had my first surgery in '91.
  5. Thanks for comment! I need density in mid-scalp ad crown areas that have thin covering of transplanted hair ( I'll try to post pix soon ). I thought Dr. Huebner would be good because he claims to have the most density per hair transplant. ( The fact that he was featured on Dr. Oz also had an influence on me, although Dr. Oz doesn't always have the best reputation. ) Not sure this is true, so I'm still looking for recs. What about Dr. Feller in NY? He does FUT, and has also been strongly recommneded to me. Also, I'm very concerned about having experienced, competent and motivated techs for my procedure. In apst hair transplants I've had lazy, incompetent techs working on me-- very disappoointing! They do very important work, and if they do a lousy job, you'll have poor results. Dr. Huebner claims that his techs are the best around. Not sure this is true, so I'd like to hear from anyone who's dealt with Dr. Huebner besides the references on his website. Dr. Feller comes highly recommended and has been around a lot longer than Dr. Huebner. More comments are much appreciated. I contribute to my local newspaper for men's health issues and I plan to write about my next hair transplant.
  6. Want to share a case I think the community will find interesting! Case: Patient underwent two "mini-graft" procedures at a local clinic. The first was a 600 graft procedure that created a very low and flat hairline. The patient wasn't happy with the results and returned to the same doctor. The doctor believed the solution was to use an additional 700 mini-grafts to naturalize the results by making the existing hairline "broken-up" and "irregular." Now, this is something we do in modern procedures in order to create a natural, feathered result. So what's the problem? Well, in modern hair transplantation, this is achieved using ONLY 1-haired follicular units. Unfortunately for this patient, it was done using large mini-grafts. So this made the already low, flat, and unnatural hairline even more apparent. When the patient presented for the consult, he described the hairline as a "zipper" in the front of his head, and something he constantly hid with his otherwise great surrounding hair. He also formed a noticeable gap between his native hairline and the transplanted hairline -- exaggerated by how low the hairline was created. Here's how he presented during the consultation: Thankfully he still had good donor and I believed I could work with his existing strip scar. So we decided to move forward with a dense pack repair with true follicular units, aimed at both camouflaging the larger grafts and recreating a normal appearance in the frontal scalp. Surgery: Surgery presented the following challenges: 1) Because of the unnatural appearance of the mini-grafts, I could not create a hairline behind the pre-existing work. This meant the new hairline needed to be created lower and flatter than I would normally work. This also meant it had to be very dense in order to look natural that low -- and very dense packing must be done carefully in repair cases. 2) Dealing with the asymmetry of the previous hairline. While a degree of "asymmetric symmetry" is always needed in hair transplant, the previous work was very uneven and I had to be quite "creative" in my surgical plan. But we created this plan and prepped the patient for surgery. Here's a view of the mini-grafts right before I took the strip: And here are the new slits ready for graft implantation. As you can see, a very dense pack for the reasons discussed above: And here he was at staple removal day. So far, so good! This picture -- when compared with the pre-op shave -- really illustrates the difference between spreading larger grafts, and dense packing follicular units: 6 Months Later: And here is a video (with wet and dry comb-through) and "before and after" comparison pictures taken at 6 months. I'm very pleased to see the transformation the patient underwent in only 6 months (generally only the "halfway point"), and even happier to report that he's able to style his hair normally for the first time since he "took the plunge" with surgical hair restoration. Video: Comparison Pictures: So, I hope the community finds the case as interesting as I did! Enjoy, Dr Bloxham Feller & Bloxham Medical, PC
  7. A "comb-through" video of a 2,300 graft "dense pack" case. Great example of using dense packing to blend with native density in a patient with a good amount of existing hair. Patient shown at 18 months post-op. Comb-through is shown with both wet and dry hair. Patient is in his early-to-mid-30s. Enjoy!
  8. 1500 grafts....way more than I expected. Can't say enough good things about Dr. Feller and his staff. A little out of it now so more to come....
  9. My previous post had me trying to decide between Dr. Bloxham and Dr. Rahal. I've since submitted photos to and have spoken with a Hasson / Wong rep. The rep said that Dr. Hasson recommends a 4500 graft mega-session. I found this incredibly appealing because my hairline and crown would be addressed in one surgery and I would end up saving about $7000 due to the price drop after the first 2000 grafts. I would also achieve my result a full year sooner, as opposed to having 2 separate surgeries at the full graft price at Feller/Bloxham and waiting 2 years for my final result. My question is, is a 4500 graft single mega-session more risky? Dr. Bernstein's site mentions that a large strip taken out in a single session can result in a wider scar, and also that there may be less growth of the transplanted grafts due to the amount of time they are out of the body. Is this something I should worry about, or is Dr. Hasson so good that this is not an issue when having surgery with him? I appreciate the input.
  10. I know the the Feller school of thought is that it does absolutely nothing, but Dr. Baubac has made the case that slight temperature increase can harm the follicles and cause some senescence.
  11. Thanks. I have seen excellent recommendations from other surgeons for Dr. Feriduni on here from US surgeons (Feller and Bloxham for example) as well as in other forums. Dr. Devroye is a bit strange. The results I have seen are good though! Hence the consultations. Thanks again!
  12. Hi, Wanted to share a different type of case today. And one that I think the community with find interesting. The patient in the video -- Bob -- had a series of "old school" "hair plugs" done at a clinic in the late 80s/early 90s. Like many of these plug patients, he continued to aggressively lose hair and ended up with an unnatural island of plugs on the top of his scalp. He visited several clinics over the years and was basically told his donor was too damaged (he stuck with it and had more plug sessions than the average patient) and he was out of options. He came to see us not expecting much, but was pleasantly surprised when we thought he could be repaired. So I removed as much tissue as safely possible via the FUT technique from the donor and ended up with 1,500 grafts. Although there was a lot of areas requiring attention, I decided on naturalizing the hairline and filling the alleys that had opened up on the sides. It was a very challenging case all around, and I was eager and anxious to see how he progressed! He came back 8 months later and was a new man! He was very happy and actually asked to do a YouTube video with us to try and reach others who may be in the same situation. Give the video a watch. It goes through the case and also gives a little background about "plugs" and how we deal with these cases. Hope you enjoy! And let's all be grateful that we've moved beyond the "hair plug" days! Video: Pictures:
  13. "What happens when the other hair falls out?" "What will the transplants look like when the native hair falls out?" These are two very common questions I'm asked by diffusely thinning or patterned diffusely thinning patients during consultations. What they want to know is what the results of their transplant will look like after the supporting, native hair we work though eventually thins and falls out. And I tell patients that because modern techniques allow us to carefully work through instead of completely going around these native hairs, the transplants will stand on their own after you lose the hair around the transplants. And that is exactly what happened with today's patient: This patient is a very diffuse thinner with NW VI potential. I did a 3,200 graft FUT procedure on his frontal and mid-scalp in 2015 and carefully worked through his native hair at the time. He was worried that it would look thin when these hairs fell out, and I assured him the transplants would stand on their own. Here is how he looked immediately post-op: The patient came back 6 months later and looked great. At that point, all his native hair that we worked through came back and was working with the transplant to give a very full look. Here's how he looked then: I saw him next two years later. He stopped by the office to discuss a planned follow up to address the crown. He looked great. In fact, he was sporting a "gelled and slicked-back" hair style that he hadn't previously been able to wear. At that time he told me that he believed the rest of his original native hair had shed. And based upon an examination of the transplanted area and the rest of his scalp, I agreed that the front was almost all transplants at this point and the back was thinner without any native hair. Despite this, he looked great and he agreed that my original assessment was correct: the transplants will stand on their own when the native hair thins. Here's how he looked at 24 months post-op, with loss of the native hair in the transplanted area, and with his hair gelled and slicked-back: So for those concerned about what a thinning region that will be augmented with transplants may look like after the native hair thins, rest assured; as long as the native hair is carefully worked through the transplants should stand on their own. Thanks for viewing. Dr. Bloxham Feller & Bloxham Medical, PC
  14. Crowns can be tricky. There is a reason why they are often referred to as the "black hole of grafts" online. The large surface area requiring coverage and the twists and turns of the "whorl" pattern call for a lot of grafts. On top of this, they notoriously thin in a circular spreading pattern that is tough to keep up with. However, they are also very often a crucial area for hair transplant patients. Although I do believe the frontal/midscalp regions are more cosmetically significant, many patients don't feel like their transformation is "complete" without crown work; or they can't stand thinking that they still have a "bald spot like my father/grandfather" back there. So crown HTs are important. They must be planned thoroughly and lifetime grafts must always be kept in mind, but important nonetheless. The patient in this video is a good example of what crown patients should expect. He underwent 3,300 grafts total over two passes (the first to address the upper crown, and the second to address the whorl pattern and the lower crown after he had further receded) and now has a very full and natural crown. Here is his "comb-through" video. Tried to be as transparent and thorough as I could here, because expectations are important! Enjoy!
  15. I've discussed the importance of the "frontal band" procedure in a few videos before, but I wanted to share a case where I feel it really was the "right move" for a patient. This patient originally contacted me about putting "a few hundred" grafts via FUE into his hairline. I examined photos he attached and disagreed with the approach. While this may have been a viable option for an older guy with stable and minimal recession, doing these little "fill" procedures in younger guys with unstable frontal zones and future loss isn't usually the best move. So I advised him to instead consider building a solid foundation with a larger, dense pack, "frontal band" FUT procedure. He thought it over and decided to go with the plan. I designed a new hairline -- that will look as natural in his 60s and 70s as it will in his 30s -- and outlined the frontal band region behind it. I then densely filled the area with 2,000 grafts via the FUT technique. 8 months later, the patient contacted me thrilled with the results! He was very pleased we went with the more strategic and "long term" plan, and sent in the following photographs. Please see the video (which contains more pictures, explanations, and an immediate post-op video) and comparison pictures below. I've also attached the 8 month shots sent in by the patient (in case anyone wants to look at it blown up). All "after" images are sent in by the patient and have been left completely unaltered. VIDEO: PICS: Enjoy!
  16. your right on track buddy! I'm about a month ahead of you and i'm still in the shedding phase. Have you seen the hair transplant results timeline Dr. Bloxham posted? http://www.hairrestorationnetwork.com/eve/183806-how-hair-transplants-grow-mature-pop-dr-blake-bloxham-feller-bloxham.html
  17. I have been a member for about a year now on this forum doing research on surgeons/FUE vs FUT vs mFUE and unfortunately there seems to be so many different opinions on FUE and FUT based on the surgeon. Dr. Feller argues that FUE will and never is as good as FUT (unless FUE is used for extremely small graft cases). While another recommended doctor on this forum, Bhatti made two videos of the advantages of FUE which contradicts the exact opposite of what Feller was arguing. Videos can be seen here: I remember a few months ago reading though a thread between Dr Diep, Dr Feller, and many forum members arguing and it seems like there is no consensus on what actually works. My question is why? Why can't top surgeons in the world (who perform surgeries and produce regular spectacular results) form a board with a set of rules and opinions. These rules and opinions would be based off statistics of surgeries (for example:graft survival rate per surgery, percentage of successful outcomes for FUT and FUE based on each surgery, statistical survey of past patients who would rate there outcome on a scale of 1-10, etc.) I am just tired of reading so many different things about FUE/FUT/surgeries and second guessing what I should do in the hear future. Why can't Doctors around the world come together and based of statistics argue and come with a conclusion of a set of rules/laws (BACKED UP BY STATS) for individuals who are seeking a HT, a decision that could make or break there life. If this were the case, then the number of individuals who get end of with awful hair transplants/result would be minimized. Doctors who buy a ARTRAS machine and say they are hair Tran plant Surgeons wouldn't be able to make such claims. I think there is a huge difference in the role of Doctor's in the hair transplant industry and Doctor's in different areas. What I mean by this is that when patients make a consultation regardless of what area the doctor specializes in, the expect the doctor to know everything and in general primary care physicians can share similar ideas on how to treat certain sicknesses and diseases. Why can't hair transplant surgeons do the same? Why can't they come up with a similar consensus (BASED OF RESULTS/STATISTICS/ NUMBERS) on why FUE or FUT is better. I just don't get it. Personal background and why I am so frustrated. I am 24 and a Norwood 2 who would has stabilized my hair loss with finastiride and Dutastiride (1.5 years now) and I want to wait till I am 28/29/30 to do something about my not so great hair line. I started to do research on hair transplants for over a complete year now and I can't even make a decent decision on which technique I'd like to go in. I mean I still have 3-5 year to decide but it's ridiculous that I've been researching for 1 year watching interviews with surgeons and viewing results n and off this website and yet I can't make a decision without doubt that I am making the correct decision. Any pots why professionals/surgeons would be greatly appreciated.
  18. I was curious to know how other people on this forum feel about where I am with my decision on which hair transplant surgeon to use. I’m currently between Dr. Rahal and Feller/Bloxham. Feller/Bloxham is in driving distance for me, where as I would have to fly and stay over several days in order to use Dr. Rahal. I’ve read so much on the forums about how there are around 6 HT surgeons in North America (Feller, Shapiro, Hasson, Wong, Konior, and Rahal) who are the “must use” surgeons in order to get the best possible result. I had originally decided that if I get a transplant, I would use one of these 6 surgeons. My surgery would be with Dr. Bloxham if I go to Feller/Bloxham. My question is, should I feel confident that I would be getting the same high quality procedure if Dr. Bloxham does my hair transplant? The work he posts looks really good. The problem is, that I can’t find much on the forums as far as his patients posting their results. He clearly has Dr. Feller’s confidence, but he is just no where near as research-able as the other surgeons who have been doing transplants for years and have been widely talked about on the forums. I also believe that in so many fields, there is just no replacement for years of experience. So, are my concerns justified, or am I overthinking this? I’ve heard many say that distance shouldn’t be a factor when selecting a surgeon, but it really is for me because I simply cannot be away from home or work for more than 2 or 3 days. The are other issues too, like Rahal providing a 95% growth guarantee, where Feller/Bloxham do not. I would appreciate hearing the opinions of other people who have had hair transplants and went through a similar research and decision process.
  19. No scars to 'cover' - they would have healed just fine. They were minigrafts and were punched out without need for stitches. A little trip back in time for the younger guys here. My initial hair transplants were done in '91 with small strips that were then divided into I think 1 to 2mm 'minigrafts' that contained multiple follicullar units all in one 'graft hole.' That compresses the grafts and you end up with alot of hairs all bunched into a small hole - pluggy looking. That was the 'standard' back then and I was 23 or 24 at the time. I had additional minigrafts (but much smaller amount of total hairs) in '94 and '95 before I started getting true follicular grafts in '04 w/Dr. Feller. Very hearty hairs (my 1st two very small surgeries of 100 and 120 minigrafts) but not natural at all. I still have 2 rows on each side but they are not in my frontal zone anymore. They blend in very well with my additional follicular units that surround them - even though I kept none of my native hair in my frontal 1/2 of my scalp.
  20. I have greasy/oily skin and heal well - Dr. Feller took out approximately 40 or so grafts via FUE punch in 2004. However, I have had my hairline lowered very slightly then and had my left side lowered just a tiny bit in March of '17 and will continue to refine my current hairline in my next surgeries in '18 and '19. Unless you received big 'plugs' from the 1980's removing grafts is very simple (or using electrolysis) but most surgeon's prefer not to do so on a wholesale basis in one go. That would be a process over several sessions. Again, think through what you are considering very carefully and consider the response from Dr. Konior - he's not wrong you know. He RARELY posts here unsolicited - that should tell you something for sure. peace...
  21. We already have a thread about this topic and I do no see a benefit in opening another one. Also, just like I wrote about the arguments of Feller&Bloxham (favoring FUT), this arguments by Dr. Batthi are way to onsided (favoring FUE). If you want a honest view: You have to go step by step through the entire process for FEU and FUT and write down the min, mid and max values of wasted grafts as a function of # of grafts.
  22. Last week, I discussed the importance of individual planning when it comes to hairline transplantation. I touched upon how things like a patients age, likely progression of hair loss, adherence to preventive medications, and current level of hair loss all come into play. I then shared a case where I performed a 2,200 graft hairline (and frontal scalp) transplant on a young patient with a fairly significant amount of loss in the front, a hesitation towards certain medications, and a fairly high likelihood of future loss. In that patient, I took all of this into consideration and designed a more conservative, feathered hairline plan that would serve him well in the long-term and put us in a good position for future surgery. I'll put a link up at the end. So today I wanted to share another hairline case that again utilized an individual and unique approach, but is very much the opposite of the first patient. Based on this patient's age, family history/physical exam, adherence to medications (which he was on long before surgery), and facial shape/hair type, I designed a more aggressive approach. I utilized around the same number of grafts -- 2,000 -- and did a dense pack hairline rebuild. Below are images sent in by the patient (and left completely untouched) at the 12 month mark. They are included with some "befores" and intra-operative shots for comparison. This can be compared with the other case to show how hairline transplantation must be individualized. No two patients are the same and there is no "one size fits all" approach. Many factors must be taken into account, but it usually results in happy patients if everything is closely analyzed and a well-strategized plan is executed. Here is the other "opposite" hairline case for comparison: 2,200 Graft Hairline / Dr Bloxham Enjoy and Happy Holidays! Video: Pictures (attached):
  23. Patients are unique. Each has a different level of hair loss, a slightly different hair loss pattern, a different likelihood of future loss, different hair type, and a unique head shape. Therefore, each patient requires a unique transplant plan. Especially in the hairline region. There is no "one size fits all" approach, and what works great for one patient may not be the right approach for another. So I wanted to share an example of this type of in-depth planning: The patient is a gentleman in his 20s who was embarking on a new phase in his career. And, understandably so, he wanted to get his hair fixed before starting his new gig. He suffered from frontal (including hairline) and slight mid-scalp hair loss. He previously covered it up with a forward "comb over" and even dyed it blonde (on the advice of a hair stylist) to try and camouflage the loss (and you'll notice this in the "before" pictures). I saw him for a consultation and we agreed that hair transplantation was likely his best option in this instance. But based on his age, head shape, views on preventive medications, hair type, and family history, I explained that he should seek a more conservative and feathered approach in the hairline. This would allow for a full but also soft and natural frontal transition, and also look natural if he thinned behind where we worked. We also made donor management a priority, and ensured he had plenty "left in the bank" for future procedures. I ended up doing a 2,200 grafts transplant. He returned a little over 11 months later, and the plan worked! Please view the video and pictures below. Enjoy! Video: Pictures:
  24. "This looks really, really good. I find SMP to be really difficult to pull off, and you guys really knock it out of the park. Prison Break, for sure." Thanks pkipling! The key to these results is partly that I spent a lot of time studying how to design a man's hairline. This started with my own hairloss obsession and education, and hair restoration journey over 10 years ago. I became friendly with some of the world's best hair transplant surgeons (all through this forum) and studied what they were doing and how they designed hairlines. I was fortunate enough to be introduced to Milena Lardi of Beauty Medical in 2011 at Dr. Alan Feller's office. I watched Milena work on a client from Seattle. Dr. Feller, and Dr. Lindsey, observed the work under magnification and both were blown away by the realism. He green lit me going over to Italy to train with Milena. The other key to the results you see is the product I use. The pigment is mixed with an agar that keeps the dots compressed/tight. Plus we only inject at .5mm (upper dermis) with a single-point needle. IMO this allows for the most natural-looking results--the tiny dots truly replicate shaved hair follicles. This also means that the pigment will fade and disappear 100% from your system over time through exfoliation and the pigment being absorbed and expelled via natural processes.
  25. I don't do long writeups but I'll do mine now (after 9 months) because I can PERSONALLY vouch for this clinic - they did my 4,500 FUT & 500 FUE in March '17 I am very critical of surgeons that are not up to par and if you real alot of my posts I enjoy challenging the ones that I believe are lazy and behind the times and simply are resting on their laurels. Dr. Soni ain't that kind of guy. What a work ethic and he's a sharp competent artistic very experienced surgeon w/excellent training. He's in his prime in his 40's and although I like to draw out other people's personalities in real life and be a bit provocative - he was completely professional throughout me hanging out w/him and his staff for multiple days. Top-notch German dissecting microscopes, well-trained stable group of 10+ techs and all male surgical staff. Very clean operating theatre w/all modern equipment. The clinic is run like a fine-tuned machine. There is no waste of time and they just get things done and will work late to do proper work (I finished up at 9:30pm after starting around 7 or 7:30am) - but had plenty of breaks for a 5K graft surgery (4.5K FUT & 500 FUE). Very good anesthesia techniques for being cut into for up to 14 hours. A bit of pressure in the last few hours but no real pain. They are good about that and are ready to keep you comfortable. I stayed at his clinic (he lives on the top floor so he is hands-on) for 3 days in a nice room w/food delivered as well. I'm not really a huge fan of India but I was a tourist for 3 weeks before surgery and became a HUGE fan. It's so diverse and interesting. I went there for surgery and to get a high # of grafts w/excellent trichophytic closure techniques and to literally save 75% off USA retail and I was on my way to Hong Kong and Shenzhen China to visit with my best friend for another month or so after my surgery. I could have paid USA retail prices for less grafts in one FUT surgery - but what for? I also researched every major hair surgeon in India and Dr. Soni's techniques/yield/# of grafts in one sitting and training were at the top of the list of a few other well-qualified hair surgeons in India. I know good surgeons, world-class surgeons and have done consultations with at least 10 of them. One of my previous FUT surgeries (2,250) was w/Dr. Feller in 2004 so my surgery in India was definitely well researched. Dr. Soni's wife does excellent cosmetic dentristy on site as well; so a family business if you will. His staff of consultants are really cool as well. Great guys. India guys are so friendly and nice and speak enough English that it was a pleasure hanging at Dr. Soni's clinic for 3 days. It was a bit hot for this white boy though in late March it was already 95 degrees out in Jaipur!! Haha. I'll be going back after 18 months from my surgery. I've lost a great deal of weight since my surgery (I am 6 foot 2 and was 270lbs for my surgery - I'm now under 200lbs and would like to finalize my weight at about 175lbs by end of summer 2018) and feel like I have enough laxity for another FUT surgery and may do a bit more FUE as well. I'll have Dr. Soni evaluate and see what he can do for me in September/October of '18. I'll have him retake photos then (2 month hair grown out pre-surgery to 2 month hair grown out 18 months later) and post them here. I do have extremely fine bone straight low caliber thickness hair so for my German/Swedish hair genetics I require well over 10K grafts and ultimately I'll end up with about 16K (I'm at 8.5K now) to get a result I'm happy with as I make my way into my early 50's and beyond due to every single male member in my family on both sides being Norwood 6 or 7's. I'll finish off my hair transplant journey in late 2019 or early 2020 and max out the rest of my donor w/ 5-6K of FUE's. I am not sure who I will have do my final FUE surgeries but my last small FUE will probably be w/Konior or Hasson or Gabel (500-750 grafts) to perfect and refine the very frontal hairline I want to live with the rest of my life. Then I'll finally get temporary SMP probably from Ahead Hair Ink so I don't have to use Prothik or Dermatch or any fibers. I don't currently use them that often anyway but wouldn't mind the 'shadow' effect to negate the difference in hair to scalp color of my brownish auburn hair against my super white/pale scalp color.
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