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  1. Wanted to present an update on a case I've shared before. The patient is a male in his 30's who underwent 2 "mini-graft" cases only several years back at a local clinic. The result of the two procedures was an unnatural look that only worsened as he continued to thin in the "frontal band" area. So I did a 2,200 graft FUT procedure (with true follicular units) aimed at naturally restoring the front and blending it into his excellent hair behind. He recently stopped by at 10 months and I was able to do an in-depth video (with dry and wet comb-throughs) and really evaluate how far he's come. I'm also linking to his case at around the 6 month mark; this may be interesting for those looking at how transplants mature. Video: Comparison Pics: And here is the link to his original presentation (a little under 6 months post-op): Dr. Blake Bloxham: 2,200 Graft "Mini-Graft" Repair | 6 Months Post-Op Thanks for viewing, Dr. Blake Bloxham Feller & Bloxham Medical, Hair Transplant Institute NYC Hair Transplant | NY Hair Restoration | Feller & Bloxham Medical
  2. I'll let Dr. Feller answer the question, as he made the representation. I am also wondering how he came up with "25% sacrifice of grafts during FUE is a more likely optimistic figure."
  3. I am wondering what set of data Dr. Feller is using when he writes "Indeed, FUE causes 13 times the amount of vascular trauma," as compared to FUT surgery. How did you deduce that FUE causes 13 times the amount of trauma as opposed to say 2X or 5X or 9X, etc. Is it based on information in a peer reviewed medical journal?
  4. What ever happened to mFUE? Wasn't that the so-called "alternative" to FUE with strip-like results? I'm surprised to barely see it mentioned at all anymore. Can Dr. Bloxham or Feller please expand on their results with mFUE? Thanks
  5. Hi, I've done some research regarding hair transplants, and I'm still undecided. Dr. Feller has deemed me a candidate, and I've yet to hear from Hasson & Wong. I'm looking for dense packing for my diffusion on top of my head, as well as some hairline restoration. Which of the two do you think would be most suitable? Any other suggestions for Dr's/
  6. Mav, I would just like to repost the following that you wrote because I believe it is important for Dr. Feller to answer. "1) your position on FUE seems to just be based on your own experience performing the surgery 2) I understand that you have not attended an ISHRS or other conference in person in years 3) you appear to be unaware of who exactly the new and upcoming FUE surgeons actually are. Dr Lupanzula is a well respected FUE surgeon recommended by this very site and who actually presented/gave a demonstration at a FUE conference hosted by Erdogan in 2015 and which was attended by some heavy hitters like Shapiro, Wong, Feriduni, Lorenzo and others. Yet, you yourself admitted you had never heard of Dr Lupanzula until he posted on this thread. 4) I am not even convinced you have seen a live FUE from one of these top FUE surgeons in recent years. I could be wrong on this point. " Not being aware of Erdogan and Lupanzula as a hair transplant doctor in 2017, especially considering their work on the research and FUE conference circuit is outright shameful. Not only is it a terrible look, but it looks very, very hard to believe. It looks like desperation, particular considering Dr. Feller's claims that FUE isn't popular or growing in popular. Clearly an outright lie or pure ignorance of what the available ISHRS data about the growth in FUE procedures indicates. Shouldn't a top doctor be paying attention to facts and statistics? One would hope so. Again I think everyone agrees with the crux of Dr. Feller's argument as to why FUT is the better procedure for most, however there is clearly a lot of dishonesty and inflammatory, unrealistic rhetoric going on. There are FUE surgeons like Erdogan and Lorenzo who are consistently producing better results than 90% of FUT surgeons when looking at similar graft counts and hair textures, regardless of whether FUT is the better procedure.
  7. Dr. Bloxham, are you serious with this answer? So the three forces will not apply for small sessions and/or when going slow? In this case 99 % growth would be the norm for you? Much ado about nothing? (Cause if you find a solution for 100 grafts there are simple solutions for 1000 as well). It is again very hard to align this with what Dr. Feller (and you) have stated in this very thread before.
  8. Dr. Vories, Thank you for joining the discussion. A few questions if you don't mind ... You share a case where 100 grafts were extracted via FUE, re-implanted with an implanter pen, and a 99% regrowth rate was observed. I am not surprised by this data. As has been said many times before, slow, meticulous small FUE sessions are the best way to minimize trauma and maximize growth. Although forces are present on all grafts during FUE, it is truly the "brute force speed" utilized during FUE mega sessions that causes real problems on a large scale. Having said that: How many attempts were made to remove these 100 grafts? Meaning how many grafts were scored versus scored and successfully delivered? Do you have any data on the survival rate of the 2,500 graft procedure? If not, do you think it rivals the 99% regrowth rate you saw during the 100 graft test? Do you believe your average FUE mega session -- say 2,500 grafts or so -- grows at this level? 99%? Several members dismissed the findings of a published study by an FUT/FUE doctor because he only included 90 cases at that time. 90 was too small of a number and many member wanted more data points, so I'm curious as to whether or not you have more than 100 data points for comparison as well. Also, you have mentioned several times that you believe using the implanter pen makes up for damage during extraction and allows for good growth. Is this accurate? And if so, do you believe FUE-only doctors -- such as the last one to enter the discussion -- who are implanting with forceps are getting less yield/growth? And if not and they are the same, why use the implanter? Very much look forward to your reply. Dr Blake Bloxham, NY Feller & Bloxham Medical -- Hair Transplant Institute NYC Hair Transplant | NY Hair Restoration | Feller & Bloxham Medical
  9. Impressive effort on your reply. Thank you. But nope. None of the things you listed are advancements in FUE. Dr. Feller every single thing that was listed is a clear advancement of FUE. If those clinics didn't feel that was the case it wouldn't be presented in FUE workshops highlighting the "advancements" in the field. Not a single graft coming out of the scalp via FUE today is affected any less by the three detrimental forces than they were 17 years ago. It is this reality that cuts through all the noise and the hype. Dr Vories has posted that he has been able to overcome these forces as some many other elite FUE surgeons have done as well. This is evidence in their results which is what the patients are after. 99/100 grafts The fact remains that each and every clinic you discuss in your post shows more FUT results than FUE results by a huge margin. And I ask again, if they believe FUE was the equivalent of FUT why would they keep performing FUT ? Why would there be any FUT presentations by them at all? They clearly feel that both methods are sound and has there pros/cons. Dr Konior recently suggested FUE for a patient as opposed to FUT? Why is that? Dr Konior's reputation and results stand out even among the elite. Why would he suggest FUE to a patient willing to undergo FUE if he didn't think the results would be the same? I can't speak to why any particular clinic would choose to jeopardize their good reputation by performing FUE but I can make an educated guess. Wishful thinking, internet hype, and shameless/illegal marketing schemes have misled potential patients into believing FUE is the equivalent of strip. I can see how this happened on this very website by the incredible rejection of reality by so many posters. This is absurd to think these world class clinics would be swayed in such a manner. FUE has become a religion on this and other websites. So to keep the doors open these doctors believe they had better offer FUE or perhaps go out of business. They are just giving the public what they think it wants. The problem is that it is wrong and unethical and can't be justified when the realities of the procedure are compared to that of FUT. This is a reckless and irrational theory of yours. Are you implying that SMG, Hasson & Wong, & Konior would go out of business if they didn't offer FUE? Konior has a one year waiting list for FUT patients..... This is equivalent to Lavar Ball stating that he can beat Michael Jordan one on one (in basketball). Is this the knee jerk response that you after to keep people tuned into the next outlandish remark that gets made? That's why, at least in the United States, informed consent is where the BS stops. Failing to inform a patient of the differences between the two procedures and the specific disadvantages of FUE in particular is a violation of most if not all State Medical Board regulations. This can lead to medical license suspension or revocation. It can also lead to civil action. The medical boards of other countries, especially the third world ones, don't seem to give a damn. Physician accountability is non-existent especially when the procedure is elective. You focus on all the "successes" posted online by FUE doctors in general. That's very nice, but how many failures and unhappy patients do you see on these doctors websites ? None, of course. No sane doctor would do that. But there are plenty of unhappy FUE patients on this very website that you completely ignored in your post. There are plenty of unhappy FUE and FUT patients Dr Feller. You would be remiss not to mention the failed FUT cases for which they are plenty. How many unhappy patients were given money back by their doctors in exchange for keeping their mouths and keyboards quiet? Again this happens with both methods FUT & FUE so another moot point. I can guarantee you they exist because such patients have come to my office and told me their silence was paid for by their doctor. You didn't mention them because you have no idea they exist. But they most certainly do. I have been reached out to by forum members who weren't happy with the results on many instances asking for options etc... I don't doubt you have had your fair share of repair cases but yet again those aren't only FUE cases you have repaired? I presume you have done your fair share of FUT repairs, scar revision etc ? Most or all of your entire field of view concerning FUE and hair transplants in general is from online reading. That is simply too narrow of a view for you to be truly informed. All I can say is trust me when I say there is much more to the picture than you can possibly be aware of. Please enlightenment us all and elaborate on what we aren't aware of so we can be "truly informed"
  10. I had an in-person consultation with Dr. Konior and we talked about FUT vs FUE. I need 1500-2000 grafts and Dr. Konior told me that he would choose FUE for me without a doubt because of the way I like to style my hair (keeping it very short on the sides). He explained that there have been many advances in the FUE procedure over the years and he now thinks it yields excellent results. I didn't go in to the consultation requesting FUE, and even though I prefer FUE due to less visible scarring at shorter hair lengths, I was open to the idea of getting FUT if Dr. Konior thought that was my best option. He didn't, and confidently reassured me that FUE was the right procedure for me. Dr. Feller, I know you have a fantastic and well-deserved reputation for your FUT results, but in my honest opinion, using such strong, emotional language like "FUE ... rips the graft from the scalp", "FUE is internet hype", and "FUT [allows for] the least amount of trauma known to man" doesn't really help your case. When there are top-tier surgeons like Konior, Hasson and Wong, Rahal, Erdogan, Lorenzo, Bisanga, Feriduni and many others recommending FUE and getting home-run results, it’s hard to make such strong claims against FUE without inferring that you also believe these surgeons are running unethical practices. Finally, speaking from a personal point of view, I have no problem with the *idea* of FUT. I’m not concerned at all about having a strip removed from my head. I’ve had larger medical procedures done and to me FUT surgery seems like no big deal. My biggest concern, by far, is that the FUT scar prevents me from wearing my hair short on the sides. I’ve seen some FUE patients with undetectable scarring at a grade 1 which I just don’t believe is possible with strip. I want as few limitations as possible after my hair transplant, and for me I think FUE is the way to go.
  11. FUT yields better FUT done well provides a far smaller total area of scarring FUT does not diffuse the donor FUT takes the best section of the donor FUT does less harm to the grafts FUT maximises the potential of the donor - All that being said, there are some FUE surgeons - the usual suspects (Erdogan, Couto, Lorenzo, Lupanzula, Bisanga, Feriduni) who are getting better cosmetic results than the vast majority of FUT surgeons with the same amount of grafts, but even inarguably rivalling the cream of the crop FUT surgeons like Dr. Feller. And that's all there is to it. FUT is better in the vast majority of regards, but for the best FUE surgeons the vast majority of the gap is closed. Even in regards to yield and consistency, Lorenzo for example has inarguably more results than any FUT surgeon in the world available for viewing online and has the track record to rival any FUT surgeon in cosmetic improvement per graft and consistency of high yields. Some people just don't want a strip cut out the back of their head when they can instead just go to a surgeon like Erdogan or Lorenzo who 49/50 times is going to get results equal to ANY FUT surgeon.
  12. "Not true and you know it. 1) Dr Lupanzula and Dr Bhatti have both come on to debate you" AGREE. LETS NOT FORGET DR. JIM HARRIS AS WELL WHO LATER RETRACTED HIS STATEMENT AFTER MANY FOLKS HAD ALREADY A CHANCE TO VIEW HIS OBJECTIVE OPINION. DR MICHAEL VORIES ALSO HAS JOINED THE DEBATE AND HAS DISAGREED WITH BOTH DR. FELLER AND BLAKE ON MANY ACCOUNTS. SO THERE HAVE BEEN FOUR WELL RESPECTED SURGEONS WHO HAVE DISAGREED, AND WE ARE STILL WAITING FOR ANOTHER FUT/FUE HT SURGEON TO JOIN THE DR. FELLER CRUSADE OTHER THAN BLAKE.........
  13. Gas, I don't think these questions have ever been dodged. But just in case ... 1) Post random (=always changing) growth rates of FUE (and FUT) We have posted the studies from Dr. Beehner (two different ones) and Wesley multiple times. These numbers are slightly different, but they still show around the same: 70-75% growth yield on average for FUE. Industry accepted standard for FUT growth after multiple, multiple studies is 95-98%. 2) Not answering with clarification after being questioned about this numbers several times See above. Just because people don't like the data, doesn't mean they get to outright dismiss it or claim we aren't posting it. Studies in this field are light compared to others in general. Dr. Beehner and Wesley have studied in a controlled and respectable fashion and published the data. 3) Not backing them up with facts or not answering the serious questions to the few poor data which were given. If you have better data supporting your perspective, please post it. I don't have control over the number of studies that have been done on this subject. When I present my own, it's called subjective or biased. So all I can present are the objective studies done by others. If you have conflicting data, it's on you to present it. 4) Answer in another thread with an offensive video and title after finally another clinic had joined the discussion (who raised similar questions). You probably missed the first time this happened in the exact manner, but the clinic in question really didn't "join" the debate. They came in, admitted that detrimental forces on grafts exist, claimed they had overcome them but refused to clarify how -- even after a moderator asked for clarification, and then made some silly comments about people coming to train at their clinic, argued over whether something happened 15 or 17 years before, and then used a 12 year old post to try and end the argument before running from the debate. There was no evidence provided, nor was there any "entry" made. 5) Post “results” of a hollywood actor, who never admitted to have surgery, to promote FUT. You cannot know if he had FUE or FUT and on top he is probably using concealers/topic/partial wig etc. on this picture as it is from the Oscars event. I don't know who posted pictures of a hollywood actor to promote FUT, but I assure you it wasn't my clinic. 6) Not answering serious questions about negative aspects of FUT at all (like thinning in the donor) or even giving misleading answers. Again, this was answered; you simply didn't like the answer. There is a difference. Please refer to Dr. Feller's post. 7) Connect “damaged grafts” with existence of FUE clinics in the US Incorrect. No one ever stated that the poorer yields with FUE is not why you don't see FUE-only clinics in the USA. We stated, correctly so, that the practice of FUE tech mills is illegal (or certainly very, very risky) in the US (see case law in Florida and Virginia) and that is why you only see it in certain areas of the globe. I truly hope this answers these issues. Dr. Blake Bloxham, NY Feller & Bloxham Medical -- Hair Transplant Institute NYC Hair Transplant | NY Hair Restoration | Feller & Bloxham Medical
  14. Dr. Feller, Dr. Bloxham, (bverotti), mikeyhwk made a point which I also addressed before. I really liked the content from “the letter video” as it summed up most of the points which were discussed before in these long discussions. You even added one point (transection during strip) which was, as far as I know, only briefly discussed in the mFUE thread between Dr. Bloxham and myself. But actually, I am not 100 % sure how serious the post was, which you were reading. If I am right and bverotti made some absurd statements just to make use of Dr. Fellers words and twist them around: I think this is really borderline in ethics, as he acts as a clinic representive (and some users could see his post as a fact). This is not a drama class with points for creative writing; it is a serious topic for many people here. On the other hand: Dr. Feller/Bloxham, you are calling a lot of other clinics unethical for using FUE. You are also not speaking here as forum users, but as experts and even consider your opinion as facts. In this case other rules than to normal forum user have to be applied for you as well. Put this into perspective, it is unethical to me to (using our own words): 1) Post random (=always changing) growth rates of FUE (and FUT) 2) Not answering with clarification after being questioned about this numbers several times 3) Not backing them up with facts or not answering the serious questions to the few poor data which were given 4) Answer in another thread with an offensive video and title after finally another clinic had joined the discussion (who raised similar questions). 5) Post “results” of a hollywood actor, who never admitted to have surgery, to promote FUT. You cannot know if he had FUE or FUT and on top he is probably using concealers/topic/partial wig etc. on this picture as it is from the Oscars event. 6) Not answering serious questions about negative aspects of FUT at all (like thinning in the donor) or even giving misleading answers. 7) Connect “damaged grafts” with existence of FUE clinics in the US By the way: In one of your “strip scars” videos the strip can be easily recognized from far distance, just by the color contrast and hair directions. No need to comb though. This is exactly the reason, why many people are afraid of FUT. Most of us know that strip is superior to FUE in growth. But we (or at least I) want to make our own mind, based on facts and to weight “growth vs. stigma”. I know, what now is going to happen: Dr. Feller is going to claim, that I am a laymen (just like he did with mikeyhwk and all other before that) and we cannot understand it or that he doesn't want to debate with us. But instead Dr. Feller/Dr. Bloxham, why don’t you just answer the questions? It is notthing personal, but we can understand the math without running a clinic ourselves. And we want to decide for ourselves if X-percent better growth in average is worth a strip scar or not.
  15. I think Dr. Feller's point was that you can't see through the skin from the surface no matter what magnification you have. Cooley didn't really refute that in that quote. If he punches a 2 follicle graft out and it turns out to be a 4 he could very well have damaged the 2 hidden ones by using too small a punch.
  16. After reading Bverotti's post Dr. Bloxham and I began a discussion between ourselves about how confused people are about the realities of FUE surgery. So we decided to film it and share it online. If any FUE doctor cares to chime in, please do. Dr. Alan Feller Feller and Bloxham Medical, PC Great Neck, NY NYC Hair Transplant | NY Hair Restoration | Feller & Bloxham Medical
  17. Dr. Feller as you came up with it, I would appreciate if you could answer my request for clarification for the sake of education of the forum members. Well, I have a hard time understanding your new comment as well. Where does this 85 % come from? A study or guessing from your side? What does it mean? In 15 % of all patients FUE grafts are as healthy as FUT grafts? Is assume that is not black and white, but there is a big grey area (where grafts are only slightly/partly worse with FUE to FUT), or am I misled? And how do US doctors (or yourself) give information about “damaged grafts” with FUE if the damage is unvisible according to your words? You just guess a number? Or you tell before an average number? If so, which number do you give? I also fail to understand what this has to do with FUE mills in the US. There are no FUE mills cause technicans aren’t allowed to do the majority of the work. Thank you for clarification.
  18. Now I understand why you admire Dr. Feller so much… You are afraid, I get it. I just wanna help in the way that I say: Not everything what you experience depends on FIN. Some things are just in your head and some things are just normal (getting old) or just another illness unrelated to FIN. Just like the fear monger from propecia help you blame now everything on FIN: - I am getting fat --> FIN - I am getting thin --> FIN - I am looking older --> FIN - I am looking younger --> FIN Common sense is: It is not very likely that one medication leads to complete counteracting reactions. Is it in any way possible, yes. Is it likely, no. Ask youself two questions: Why is there no "Aspirin help"? People died from Aspirin. (Actually, I do not now if there is such a site. I just use this as an example) Why do the majority of people with sides on FIN took it for cosmetic reasons? Two last things: -Fat loss on FIN is not "well documented at all". Actually there is not much "well documented" regarding sides. But fat loss is even less well documented. - As I am not a native speaker I checked again and… Yes, my understanding from “common sense” is 100 % correct. I leave it like that, cause obviously you do not seek for help. You seek confirmation from other people who freaked out. I still wish you well.
  19. Hi Dr. Feller, I respect your opinion, and I must assume that they are based your your skills. I have personally witnessed many FUE sessions with no or less then 3 percent transections. And this not only at Prohairclinic, but also at other world class Belgian clinics. So let's agree to disagree, that is fine. I am not looking for the LW. bart
  20. Sorry, I didn't want to involve before I had my 2nd assessment with the clinic which recommended FUE to me and ask the questions we have discussed forth and back. But I have to step in here. For the record: Dr. Feller, do you say that there is typically (!) no (long term) donor thinning with strip? If yes, pleas explain how this is mathematically possible. And yes, I am well aware that thinning with FUE is much worse. That is not my point. But there has to be donor thinning with strip or donor area has to shrink 1:1 with the width of the strip and the recipient has to enlarge. The latter was partly denied by you before if I remember correctly.
  21. Sometimes a little "tweak" is all it takes to finish a patient's hair transplant journey. And that's what I'm presenting today: The patient underwent his first hair transplant over a decade ago; a hairline/frontal rebuild and thickening. The procedure went well for him and held him off for many years. Eventually, however, some small things changed and he was faced with a tough decision: take the plunge one more time to really finish the journey, or let it be. Since he had invested already, he decided to undergo one more to slightly "tweak" the frontal hairline. Specifically, the patient wanted better "closure" in the corners and a stronger "left side." I ended up doing a 1,200 graft front band, with emphasis on the left corner/temple region. Below are some "before and after" comparisons at 6 months. Please see the video for more pictures -- including immediate post-ops. A subtle change, but an important one for the patient. PICS: VID: Dr. Blake M. Bloxham Feller & Bloxham Medical: A Hair Transplant Institute
  22. I've had both as well. But I've seen photos that show the area beneath the scar is markedly thinner as result of the strip excision. DR. FELLER, what do you think of that statement ?
  23. Thank you Dr. Feller. I have contacted the clinic and will see a local physician.
  24. Hairdew, All politics and rhetoric aside I advise you in the STRONGEST terms to visit a local physician immediately as you may well be dealing with necrosis for which treatment with antibiotics and possibly professional wound care may be called for. I also read that you have not contacted your doctor's office as yet, I would recommend you do so immediately. Dr. Feller Great Neck, NY
  25. There are FOUR types of FUE clinics. What are they? Which ones should you go to? Which should you avoid? Why? Watch this video to answer the above questions and learn what you need to know BEFORE you pick an FUE clinic...
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