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  1. Hello all, I finally bit the bullet. To give everyone a rundown I’m 39 years old this year. I live out of Austin, TX but I’m from closer to the Houston area. I started thinning when I was 18 and I tried everything to slow down the process, admittedly without a lot of knowledge back then. This was 1998 and I didn’t know much about propecia or minoxidil. I tried shampoos and all kinds of gimmicks. I did try propecia and minoxidil liquid but because I didn’t know enough about it and didn’t see immediate results I just stopped and got on with my life. It all started in my crown and then over the course of a decade marched its way forward toward my hairline. While my crown was very noticeably thin my hairline and frontal third stayed noticeably strong until my mid to semi late 20’s. At 24 I went and had my first consultation at a Bosley clinic in Houston and the whole experience made me feel uneasy. The doctor wasn’t really concerned with my crown which is where all the thinning was happening and wanted to lower my hairline which was still a teenage hairline. It was less than four fingers down on my forehead and still really thick. Ah, how I miss that wall of hair... lol. I politely passed but they called me every single day for two years straight trying to get me to come in for the transplant. They wanted to charge me 20K to lower my hairline and sprinkle some grafts in the crown. Knowing what I know now I think back about how they didn’t even bother to mention propecia to help slow loss. Bullet. Dodged. I got married in 2010 which ended really badly very soon after and my hair really started to go after that. Around 2012 I went to Dr Brad Limmer and got on Propecia/biotin/minoxidil foam to slow things down. Sadly he passed away the next year almost to the day of my consultation with him. I’m an actor and I was staying in Houston with a friend in 2014 while filming a movie in Louisiana when someone mentioned Dr. Arocha. I scheduled a consultation and we immediately got on very well. I loved his attitude, how much knowledge he wanted to share, that he was very honest about what we could achieve. I was traveling a lot though and it just wasn’t the right time to pull the trigger. While I traveled around the states for jobs I would schedule consultations with other doctors. I spoke with Feller and Bloxham, Gabel, Hasson and Wong, and others-some through email, FaceTime, in person. Ultimately it came down to me feeling the most comfortable with Arocha although Gabel was pretty close. I’m a diffused thinner and if my father and maternal grandfather are any indication I’m going to end up a 6 on the Norwood’s scale. I was going to go ahead with the procedure last year but my wife (I got married again in 2017) and I found out we were pregnant with twins so I decided to wait until things settled down with them. Side note: I did not stop taking finasteride when we found out we were pregnant and our babies our beautiful and healthy and at the time of this post almost 6 months old. The Big Day! I got to Arocha’s office a little after 7:30 am (traffic in Houston sucks) I signed the paperwork. We took some preop pics. Dr Arocha designed the hairline basically within my existing one. The plan was to work through the existing hairline, fill in the temple corner recession, and bulk up the frontal forelock. We discussed what we would do next year, reassess the front or go ahead and work on the crown. Everybody was really nice. I was visibly nervous and my blood pressure was a little high due to my being a little antsy. The Valium quickly helped out with that. When they were injecting the numbing solution into the back of my scalp I noticed I started shaking and feeling queasy so I spoke up immediately. They turned me over and raised my legs and put ice on my chest. I almost immediately felt better. Dr Arocha was there and cracked a joke about how I was his first patient of the day but probably his 7000th patient altogether so there was really nothing to worry about. TBH I wasn’t nervous about his ability to help me as much as I was just nervous about this giant step I was taking. After this procedure there was no going back. I turned back over when I was ready and they took the strip out. They kept complementing me on how good my donor was however I never got a number from them. I asked but they were just like, “don’t worry, it’s really really good.” I believe I heard say as they were looking at it that it looked like 80 to 90. Dr Arocha started to make the incisions and we talked for awhile before I dozed off and the next thing I know is I’m waking up to salmon kabobs, a killer salad, and potato and black bean soup. I eat up and then I go back to the chair where the techs start to insert the grafts. We chat for quite awhile. Dr Arocha was there for quite a bit of it as he would interject in our conversations. Every once in a while he would remind them about this or that concerning my grafts. I dozed off again and when I woke up we were basically done. They informed me that while I was out they put PRP all over my head. They went over cleaning instructions and we took some post op pics. My wife came in to pick me up and everyone came out to meet our twins. After that we were off and back to Austin. The ride back was pretty rough. There was a lot of pressure in my head and I got a pretty bad headache. Even with the pain pills. It didn’t even last the entire three hour drive though. I’m attaching some pics. Some preop through day two. I don’t have any pics with the design yet. I’m going to speak to Arocha’s office and see if I can get my hands on the hairline design.
  2. This patient came to Dr. Arocha in 2015 with thinning throughout the frontal third. He had a 2500 FUT procedure and is taking Propecia. He recently underwent a 1500 FUE procedure to enhance the temple and hide the FUT scar from his initial procedure. The after images were take four years after his original 2500 FUT procedure and 5 months after his 1500 FUE procedure. Before: After: Before: After: Before: After: Immediately After 2500 FUT Procedure: After (2500 FUT and 1500 FUE): Immediately After 2500 FUT Procedure: After (2500 FUT and 1500 FUE): Immediately After 2500 FUT Procedure: After (2500 FUT and 1500 FUE):
  3. This patient in his 30s, has always dreamed of having a full beard. He underwent a FUT facial hair restoration procedure, and here he is less than two weeks after the procedure, already happy with what he has accomplished. We want to show you an example of what a beard transplant looks like one day after a procedure, and 10 days after a procedure. He was able to return back to work within several days of undergoing the transplant. Looking forward to sharing his beard over the next several months. Before: After: Before: One-day post-op: Before: After: Before: After: Before: After: Before: After:
  4. Hi all, I want to provide some updated photos of this patient. He came back in fairly recently for his follow-up procedure. If you are new to this thread, here is some background: This patient came to Dr. Arocha in 2015 with thinning throughout the frontal third. He had a 2500 FUT procedure and is taking Propecia. He recently underwent a 1500 FUEprocedure to enhance the temple and hide the FUT scar from his initial procedure. The after images were take four years after his original 2500 FUT procedure and 5 months after his 1500 FUE procedure. These newest "after" images were taken 11 months after his 1500 FUE procedure:
  5. Get back on Rogaine, 2 X per day. Put a cap full press down onto the scalp and massage. The medication is systemic. If you put it on the crown area, for example, it will be working your whole head. Laser, 3 times per week, for 30 minutes. You can contact Dr. Arocha or Dr. Alexander. They are providers of LaserCap. There are studies available and carries a lifetime warranty. With regards to Rogaine, seems it was working but when you stopped, there went the hair you would have lot had you not been on medication. You still have a significant amount of hair....get on the meds before you lose it.
  6. This patient had thinning throughout the frontal third. He underwent a FUT hair transplant procedure to restore his hairline and increase the density. Dr. Arocha did a 2500 FUT procedure and a PRP treatment. At just seven months, he has already seen a noticeable improvement, and his results will continue to grow. We look forward to updating this case as the patient comes back in for his follow-ups. Before: After: Before: After: Before: After: Before: After: Before: After: Before: After: Before: After:
  7. This patient came to Dr. Arocha with a NW 4/5 and wanted to enhance his facial framing. He had a 3000 FUT procedure with PRP. He is on the maximum medical regimen including finasteride and minoxidil. Patient is 9 months post-op and still has a lot of stubble, so his outcome will continue to improve. Interestingly, his medical regimen has greatly decreased the size of the spherical crown loss. Before: After: Before: After: Before: After: Before: After: Before: After: Before: After: Before: After:
  8. I just chatted (by face time) with Dr. Arocha out of Houston and man, what a nice guy ! He answered all my questions and I will soon be hopping on a plane to Houston. Thanks to everyone here for helping me find the right surgeon. I will keep you updated.
  9. Hair Transplant Sessions: 3 Grafts Implanted: 8700 Baldness Class: 6 Surgical Procedure: Follicular Unit Transplant (FUT/Strip) This gentleman in his 60s with NW 6 wanted to restore as much of the frontal to midscalp/crown area as possible. The head size was large so we performed three procedures: 1.) 4900+ FUT, and 2.) 2800+ FUT (one year later). The 3rd procedure was a 1000 FUE procedure (5 years after his first procedure). Before: After: Before: After: Before: After: Before: After: Before: After: Before: After:
  10. No, I was a consultant for Dr. Arocha. I started contributing to this forum after finishing my contract with the practice. As to the depth, should be superficial. Why would you want it deeper? You want the color on the surface so it minimizes the contrast of the dark hair and the light scalp, (just guessing).
  11. I can share this, from first hand experience. Contact Dr. Arocha and his staff. They trained in Italy, only use organic inks which are metabolized by the body. They'll do it, reinforce it, and guaranteed for 1 year. Big difference between this and a tattoo which changes colors, uses another type of ink. Not a good approach. Call them for more information....
  12. This patient is 8 years out from his 3000 FUT procedure. He came to Dr. Arocha back in 2011 with noticeable, diffuse thinning throughout. He and Dr. Arocha came up with a plan to restore his hairline, as well as the frontal third. Doc and team performed a 3005 FUT procedure. He recently came back in the office - 8 years after his procedure! It's worth noting that this patient has been taking Propecia.
  13. This patient decided to undergo hair restoration to fill in his hairline. This patient chose not to take Propecia prior to his procedure, but has since begun taking Propecia. He underwent a 1800 FUE procedure with Dr. Arocha and team. The after images were taken 10 months after his procedure! Before: After: Before: After: Before: After: Before: After: Before: After: Before: After:
  14. This patient in his mid-30s came to Dr. Arocha three years ago with concerns about his progressive receding and thinning hairline. He was left with a persistent anterior forelock. He underwent a 2500 graft FUT procedure with PRP treatment. Results are three years post-op.
  15. Hey guys, I had posted my results in another thread over in Open Discussion, but I thought I would consolidate and update my poor pictures with some of the before/after photos the clinic was kind enough to share with me. If I miss any information recapping, the original thread will be linked under "Patient Results" I had initially stopped by to consult with Dr. Arocha about surgery. After taking a look at my hair he recommended that I try adding PRP+Acell to the Finasteride and Minoxidil treatments. I had been on Finasteride 1mg daily for around three years by this time, and Minoxidil for several months. The doctor felt that my generalized thinning might benefit from the treatment, so I agreed to give it a shot. We also discussed the possibility of LLLT since all of these things seem to be more effective when used in conjunction with one another rather than standalone treatments, but I wanted to evaluate the PRP first since there were already a number of variables in the mix and budget was a concern. That was back on 11/5/18. I went back to his office last Monday, 4/8/19 around the five month mark, so the after pictures are from then. A couple of things to note: 1. To reiterate, I am also on Finasteride 1mg and Minoxidil twice daily. I added dermastamping a few months ago, which I do once a week with 2 mm needles. 2. Dr. Arocha performed PRP+Acell injections into my scalp around five months ago. In theory I will continue to receive benefits up to the twelve month mark if not a bit longer, but twelve months is what the doctor recommended for maintenance. He did confirm that a booster session could be beneficial for to accelerate "lagging" areas like the corners in the front, but he didn't feel that was in any way necessary unless I was feeling impatient. I decided to see how things progressed without the booster this time. Most of the PRP injections were done in the frontal area with just a little in the crown. 3. I am actually a redhead of sorts. My hair is that kind of dark auburn color with red highlights mainly visible when the light catches them. As a result, my sprouting hairs tend to be very light, fine, and nearly invisible before they thicken and darken up to the deeper brown-red of my more mature hairs. There are actually a bunch of them growing in the hairline and corners that you can't see in these photos, and based on my experience thus far there's a very real chance they may end up becoming terminal. We'll find out. 4. All pictures are taken without any kind of concealer or special product other than the leave-in conditioner I use after showering. The photos were all taken in the same spot, same lighting, with the same camera. If anything, the lighting does me a few favors in the before pictures as you can see from the harsh lighting pictures. Hair is combed back in both pictures, but I think it was just a tad longer in the "before" images. I hadn't actually realized how rough the crown had started to get, so I'm grateful to be able to see my scalp from angles I'm not usually privy to. It's still lagging a bit, but in fairness it was looking rough to begin with and the PRP injections were not concentrated in that area. Beyond obvious regrowth and filling in of sparse areas, the thickness and strength of the existing terminal hair seems to have improved quite a bit as well. It seems to have much more volume and strength to it at the moment, and I think that actually comes across in how limp my hair looks in some of the before pictures. PRP treatments can be somewhat treacherous territory because based on my research there is absolutely no standardization for how it is performed. Technique, equipment, etc. can vary wildly from place to place and that means if you're going to try it you absolutely need to go somewhere reputable that can show you a history of good results. There are a couple of doctors on this site that fall into this category, and based on my experience I would highly recommend speaking with Dr. Arocha if you're looking to give PRP a shot. Clinic Photos: Patient Photos in Harsh Light (Please excuse poor quality)
  16. Yes, I've read about Fin/Dut as preventative methods and I'm a regular user for 3+ years now. I'm already doing PRP of course, but I've got enough hair that if I had a procedure it would have to be into an existing area that is maybe a little weaker, so this topic specifically is of interest. Of course, I haven't talked with Dr. Arocha about the possibility since prior to my first PRP treatment. I'm intending to wait at least a good six months after my second treatment before I consider discussing surgical options again. It's possible time and continues treatment may yield satisfactory results for me because I feel like I'm so close as is.
  17. I’ve read many times in the past that prolonged use of finasteride is your best defense against shock loss of native hairs after your transplant. I actually believe that I would have experienced much more shock loss had I not had the PRP done, though. That’s speculation, of course. There’s no way for me to tell at this point. Dr. Arocha believes that PRP reduces the risk and I’ve seen Dr. Cooley speak in interviews about how he believes it reduces the risk of shock loss. Like I said, though, my shock loss was so very minimal and I believe the PRP helped everything from falling out.
  18. Interesting. I keep wondering if PRP might contribute to reducing shock loss risk in cases where grafts are implanted into areas where existing hair is present. I know Dr. Arocha specifically seems to specialize in this to an extent, but of course some factors are entirely our of the doctor's control. I don't know if anyone has tried to make a case for this with meaningful evidence, just something I was wondering about given its medicinal use for healing and its ability to boost hair growth. I know there are a few doctors who use it to improve graft survivability, so my idea is that this might apply somewhat to the trauma native hairs sustain during transplant...
  19. @Mycroft The grafts also helped to add a little coverage. My shed was as a whole was very insignificant actually. I didn’t really experience much. The grafts that we’re placed during the procedure didn’t really fall out and they were very dark and thick, so there was an interesting illusion of coverage from just that while I waited for everything to grow. Where it was most noticeable was in the corners of my hairline but especially the right side. It was really only noticeable under direct light and sunlight. My right side was quite see through during those first months. The PRP really helped to speed up the whole process. I really need to invest in a laser cap. I have read (and spoken to Dr. Arocha) about how it can help to prolong the effects of PRP for longer periods so that you don’t have to go in so often to get a touch up.
  20. Dr. Arocha and his team performed a 1200 FUT on this African American female patient. The results were taken 7 years after her initial procedure. The hairline and the temples were very thin prior to her transplant, leaving her with limited styling options. Now, 7 years post transplant, she has different styling options for her hair. Before: After: Before: After: Before: After: Immediately post-op: After: Before: After:
  21. BACKGROUND I'm in my late 20s and started receding around the age of 18. my scalp is very light compared to my forehead. my natural hairline sat right on the line where the pigmentation changed color. (Pictured) I stalked these forums regularly but never posted until recently. I'm Latino with African/Italian ancestry, my hair grows straight for about .5cm before it curls over. I'm located in NY Moving Forward I consulted online or in person with various doctors that were recommended on these forums the likes of (Arocha, Bloxham, Diep, Vories, and Frank). after many Q&As with each I felt most comfortable with Dr.Arocha in Texas. I flew to TX on Thursday met him and the staff that same day we went over my loss and future strategies as well as design. He recommended a higher hairline than the one I received based on the rule of thirds which I understood but felt it wasn't near my original hairline. we agreed on a lower line (pictured) The Big Day After medications and local numbing was administer a strip was taken from back of the head – 3140 grafts were harvested. Dr. Arocha mentioned he was aiming for 40 grafts cm2 coverage and that my hair was straight at short length. He did the strip removal, stitching and incisions at recipient site. Technicians did the graft cutting and placement. The procedure was done on FRIDAY I was very pleased with the service. everyone from medical staff and administration were very welcoming and ensure I had an excellent operation. it was to such extent that Dr. Arocha came in on Saturday to review the post op and ensure things were okay. he even gave me a tour of the city in his personal car. he even had one staff member come in on Saturday - the same day as her son's birthday just in case some work was needed (thanks Michelle). On Sunday (Father’s Day) he called to check up on me. Again, I’m extremely pleased with the service. Has First week post op I had swelling which is normal which has gone down considerably between days 4-7. I have followed the post op instructions to the T. I have used the shampoo and bacitracin provided by the Doctor as per instructed no harsh touching and trickle water. I feel like the treatment and operation were world class and I’m inclined to use the doctor again Pictures posted include my original hairline, my baldness pattern, hairline design and post op results at day 5/6. Please contact for any questions I will maintain this thread with my progression. PLEASE FEEL FREE TO CONTACT WITH QUESTIONS
  22. This patient came to Dr. Arocha for a 2500 FUE procedure to enhance the hairline and frontal third and to increase density. The after images were taken one year, 4 months after his procedure. There are also some photos that were taken immediately post-op so you can see the donor area and where the grafts were placed. Before: After: Before: Immediately post-op: Before: After: Before: Immediately post-op: Before: After: Before: After: Before: After: Before: Immediately post-op: Before: After: Before: After:
  23. If you go to a clinic it is likely they'll set you up with a Sunetics unit. You have to go there 3 times a week and pay a fee. If you purchase a cap, it is yours to keep and far more convenient to use at home. I am a fan of LaserCap. It's made in the US, carries a lifetime warranty and it's the only one in which studies were made. Dr. Arocha and Dr. Alexander are providers as this is by prescription only.
  24. I can only speak on Dr. Arocha, who does good work, but I don't know about any of the other physicians. I suggest going on our surgeon reviews and patient reviews section and doing a bit of research.
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