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  1. About 2 years ago I started out researching hair transplant surgeons and techniques. FUT is not an option since I may wear my hair shorter at certain times during the year. FUE is the best option for me and from what read of this and several other international forums Belgium is the hotspot for top quality FUE hair transplantation. Last year I spend money and time visiting clinics in Belgium, meeting up with patient. Among those visited : Bisanga, Feriduni, Mwamba, Prohairclinic After seeing results online and live patient I have decided Prohairclinic is my top choice. They have produced consistent results, had the best live patient results (although others where nearly as good) and had the best price quality model. I took the plunge and the team of Prohairclinic (dr. De Reys was present) performed a 2 day session, covering the crown and frontal hairline. I can truly say that the treatment was very smooth, no pain at all. All I can say to others looking for top quality FUE : Belgium is a place where you will find the best in the world, including Prohairclinic.
  2. Follicular Unit Extraction performed on a 40 year old Caucasian male with: - NW III–IV vertex Class T - Donor density of ~80 FU/cm2 in the occipital donor region and ~88 FU/cm2 in the temporal donor regions - Hair diameter of ~42-50 microns Treatment plan: - 1st FUE procedure with 2000-2200 FU to reconstruct the hairline, central core and beginning of the bridge - 2nd FUE procedure with 2000 FU to add density to the crown area (planned in 2016) Performed procedure (January 7th, 2014): A Follicular Unit Extraction with 2484 FU in a single day session: * 643 single hair FU * 1841 double and triple hair FU Extraction performed with a 0.85mm FUE punch (Cole instruments®) with CIT Manual Punch Handle; No microscopic preparation of the follicular unit grafts; Parallel incisions (single, double and triple units) were made in custom-sized blades technique (~Cutting Edge blades of 0.75mm – 0.85mm). Dr. B. Feriduni
  3. Follicular Unit Extraction performed on a 40 year old Caucasian male with: - NW III–IV vertex Class T - Donor density of ~80 FU/cm2 in the occipital donor region and ~88 FU/cm2 in the temporal donor regions - Hair diameter of ~42-50 microns Treatment plan: - 1st FUE procedure with 2000-2200 FU to reconstruct the hairline, central core and beginning of the bridge - 2nd FUE procedure with 2000 FU to add density to the crown area (planned in 2016) Performed procedure (January 7th, 2014): A Follicular Unit Extraction with 2484 FU in a single day session: * 643 single hair FU * 1841 double and triple hair FU Extraction performed with a 0.85mm FUE punch (Cole instruments®) with CIT Manual Punch Handle; No microscopic preparation of the follicular unit grafts; Parallel incisions (single, double and triple units) were made in custom-sized blades technique (~Cutting Edge blades of 0.75mm – 0.85mm). Dr. B. Feriduni
  4. Follicular Unit Extraction performed on a 40 year old Caucasian male with: - NW III–IV vertex Class T - Donor density of ~80 FU/cm2 in the occipital donor region and ~88 FU/cm2 in the temporal donor regions - Hair diameter of ~42-50 microns Treatment plan: - 1st FUE procedure with 2000-2200 FU to reconstruct the hairline, central core and beginning of the bridge - 2nd FUE procedure with 2000 FU to add density to the crown area (planned in 2016) Performed procedure (January 7th, 2014): A Follicular Unit Extraction with 2484 FU in a single day session: * 643 single hair FU * 1841 double and triple hair FU Extraction performed with a 0.85mm FUE punch (Cole instruments®) with CIT Manual Punch Handle; No microscopic preparation of the follicular unit grafts; Parallel incisions (single, double and triple units) were made in custom-sized blades technique (~Cutting Edge blades of 0.75mm – 0.85mm). Dr. B. Feriduni
  5. I can certainly understand as I was a victim of Bosley many years ago in my 20's before eventually finding this site. You have ruled out FUT then? Just want to clarify that because the price is lower for FUT but with the same or maybe even slightly higher growth yield rates. FUE has come a long way in terms of yields and results, but the costs remain high in N. America. The Belgian docs as a whole including the 3 mentioned above have solid reputations and results overall. Dr. Lupanzula is 4.5 euro/graft up to 1,000 grafts and then is 4 euro/graft after that. Dr. Bisanga is around 5.5 euro/graft but depends on how many grafts you get. Feriduni is in the 6 euro/graft range but it's hard to get a booking with him. Erdogan in Turkey is 2.5 euro/graft but ASMED always quotes higher than other clinics for graft counts so be prepared for them to recommend 2x or more than others are recommending.
  6. Hi Davey, For aggressive FUE there is Dr. Erdogan and Dr. Keser in Turkey, and believe it or not Dr. Bisanga can go aggressive when the situation and the patient's needs warrant it. He did my temple corners at 60 grafts/cm2 (I have fine caliber hair so this made for a fairly dense non see-through result). Dr. Feriduni could be another choice but seems waiting lists are long and may require in person consult to get a booking (?).
  7. March 16th & 18th Hi guys, just thought I'd get a thread started while I have the time, to basically document my upcoming weekend of consultations. I think the actual organisation and logistics of the weekend itself might interest a lot of people considering doing the same in the future, on top of my experiences with each doc! I'm only a relative newbie in terms of my posting time here, but over the past few weeks and months I've gotten an awful lot of very useful info from here so just want to try and give a bit back. Given my location, and preference for FUE (surprise surprise), I was glad to see that Belgium is the hotspot in Europe (and arguably, globally). Brief Background/Description: Based in Ireland, and 30 years old. Diffuse loss pattern from early/mid 20s, and have been mixing around the medication treatments for the past 3 years. The meds have definitely had a halting effect as I am sure I would have less, but I'm becoming increasingly uncomfortable (almost anxious) about things so I think HT is the way to go for me. I'll provide pics further down the road. The girlfriend is tagging along as well! It's a bank holiday weekend in Ireland too so works out perfectly in that I'm not having to take any time off work Ambition:Regain density in frontal 3rd. Make my hair line less see-through, and thicken things up in the mid scalp. I'll admit that currently Bisanga and Feriduni are the front runners, but I'm glad I'm getting to see the other 2 docs. Who knows where I'll stand after the weekend! Plan: Drive to Dublin at 2.30am on Sat Mar 16 (2 hr drive) Fly Dublin - Brussels at 6.35am (1hr 40 flight) Arrive at 9.35am Consultation with Dr. Bisanga at 12.30pm at BHR Clinic Train at 2pm from Brussels (Zuid/Midi) to Heist-Op-Den-Berg (1hr 20 train) Consultation with Dr. De Reys at 15.45 at his home address Train back to Brussels at 18.00 and finally check into 5* Stanhope Hotel (ridiculously reasonable price) Sunday = Chill Monday - Check out at 11am Train at 11.35 from Brussels (Zuid/Midi) to Hasselt (1hr 15 train) Consultation with Dr. Feriduni at 13.30 at his clinic Train back to Brussels at 16.10 Consultation with Dr. Mwamba at his clinic Taxi at 19.00 to airport (20 mins) Depart Brussels Airport at 21.20 Arrive in Dublin at 21.50 Arrive home at 00.30 Up for work at 8.00 on Tuesday :eek: Ambitious! As you can see, I wanted to make the most of my time there. Should be an information-packed weekend, and probably tiring! I'll be documenting everything as I go along anyway, and will put as much as possible up here.
  8. * What are people's opinions on results I could achieve if I'm looking at FUE? (I don't want a big scar strip in the back of my head) I had more hair loss than you currently have (we're the same age) and I've only had FUE, it can certainly be done, but will be very costly if you stay within the U.S. * Lots of doctors (whose photos I wasn't as impressed with) seem to advocate using Artas. What's the latest thinking on this, and is there any reason doctors still believe "feel of the hand" can out perform the benefits of a machine analysis? I personally don't subscribe to the idea that one method is better than the other, manual, motorized, artas, they are all just tools, if in the right hands they can all deliver good results. I think the general consensus is that manual is better, IMO I think it depends on the surgeon and what they are comfortable with, I honestly believe you could get good results with either tool it just depends on how good the surgeon is at using the specific tool. * Outside of Konior, I'll have to travel for a consultation, follow up, etc. I make a decent living for a 31 year old, but I'm not rolling in money. How do people travel for these surgeries? Do they have to make multiple trips across the country (or world in some cases) to get FUE? Most set up skype consultations with the doctors and travel once to have their procedure. I think if you're only interested in FUE and you have a budget, your best option is to seek out treatment in Europe, particularly Belgium and Spain, you can look at Dr. Lupunzula, Dr. Feriduni, Dr. Bisanga, Dr. Lorenzo, Dr. Cuoto. All of which will be cheaper than Dr. Konoir. With that said, I don't think you'll find a more respected surgeon than Dr. Konoir. Given that you already live in Chicago, I think it would be worth it to spend a little extra money and save yourself the hassle of having to travel. I stayed fairly local for my procedures, I live in the LA area and traveled 5 hours away to the SF bay area to have my procedure. Could I have saved some money traveling abroad? sure but then there is a convenience factor to consider, if you can achieve good results conveniently close why not, of course this is just my thinking. I also agree with David, don't lower your hairiline, you are still losing hair even on Dutasteride, that means you are highly sensitive to DHT, I think its clear you will be a future Norwood 6 eventually even with the meds, plan your surgeries carefully and plan for the future, you want to look good at 41, 51, 61 etc.
  9. Recently I visited several hair transplant clinics in Europe that I believed were potentially on pare with the very best clinics in North America. I'm glad to report that some of these European clinics lived up to my best hopes. In short, hair loss sufferers in the UK and Continental Europe, in my opinion, do not need to fly to North America to get truly world class ultra refined hair transplant results. Prior to my trip to Europe I did extensive research on hair transplant clinics throughout Europe. Many clinics were immediately scratched off the list of clinics worth considering or visiting based on their use of outdated techniques and poor patient results. Over the years I have had the benefit of corresponding with many European patients who shared their experiences. These first hand accounts were valuable in identifying those clinics who provided consistently good results. In general the European patient based discussion forums tended to have a negative opinion of hair transplant clinics and physicians in Spain, Italy, France and Germany, while many patients on these forums suggested traveling to Belgium or the UK to get state of the art hair transplantation. These forums are listed below as resources for those based in Europe who speak Spanish, German, Dutch and French. Haarweb: Dutch speaking web forum focused entirely on hair transplantation. Alopezie: German language forum about hair transplantation Doctissimo: French speaking forum about hair loss and hair transplantation. Stop Hair Loss Now - This English language site/forum is UK based. Spanish language Hair Loss Information website http://www.recuperarelpelo.com Based on my research, I tend to agree that Belgium and the UK seem to have the best hair transplant clinics in Europe, some of which are on pare with the leading clinics in North America. I'm also impressed by the work and technique of the Transmed clinic based in Istanbul, Turkey. To see their website, click here . However, I did not have the opportunity to visit this clinic on this trip. However, no person or group of people can have perfect or definitive information about the quality of work being done at all clinics throughout Europe. Thus while I did not find any clinics in Spain, Portugal, France, Italy, Germany, Greece, Austria, etc. that appeared compelling enough to merit a visit, it is possible that I might not be aware of such clinics. Thus I chose to visit the following clinics which I thought looked most promising in Europe: Dr. Jean DeVroye ??“ Brussels, Belgium Dr. Bijan Feriduni ??“ Hasselt, Belgium Pro Hair Clinic in Belgium Note ??“ Dr. Bisanga, with the BHR clinic in Brussels, looked impressive. However, he was in the USA during my visit and thus not available to let me observe his surgery. Farjo Medical Centre in Manchester, England (Physicians Drs. Bessam and Nilofer Farjo) Rogers clinic in London (physicians ??“ Dr. Rogers and Dr. Stevenson) Highlights from Pat's Visit to Leading Clinics in Belgium: Based upon the impressive work that I witnessed in Belgium, this small country in particular appears to be a hotbed of world class hair transplantation. Brussels is centrally located and easy to access, which is perhaps one of the reasons that Brussels is the capitol city of European Union as well as NATO. The world class work that I see being done in Belgium is so compelling that I recommend that Germans, French, Spanish and other Europeans strongly consider traveling to Belgium to get world class hair transplant services. The Belgians, in particular the Flemish people outside of Brussels, are also very multi lingual with many of them speaking English, French and German in addition to Flemish. Visit to Dr. Jean DeVroye's hair transplant clinic in Brussels, Belgium I have known Dr. DeVroye for several years. In fact we both attended our first hair conference in Paris ten years ago ??“ me as a show case patient of Dr. Ron Shapiro and Dr. DeVroye as physician who was aspiring to become a great hair transplant surgeon. We'll after ten years of hard work and dedication; I believe that Dr. DeVroye has succeeded. He has really paid his dues over the years ??“ observing and working extensively with leading hair transplant surgeons in North America, attending international hair restoration meetings and more recently becoming an important contributor and teacher in his own right. Having seen him perform surgery and discussed the finer details of his surgery I believe that Dr. DeVroye is both an artist and a skilled hair transplant surgeon. He strives for perfection and it shows in his staff, the procedure and in the final patient results. His procedure is one of the most minimally invasive, refined and clean procedures that I have every seen. His staff also seems to share his enthusiasm and commitment to excellence. They work together as a team harmoniously and their all microscopic graft cutting and placing are second to none in my opinion. I had the honor of watching three of Dr. DeVroye's ultra refined follicular unit procedures over three days and I was very impressed at all stages of the procedure. It simply doesn't get any better any where. Dr. DeVroye has been recommended on the Hair Transplant Network (see his profile ) for the past few years. But after seeing the level of he and his staff's work I think he should be considered for membership in the Coalition of Independent Hair Restoration Physicians. Frankly, I think he has really earned a place amongst the best of the best. To see photos of these procedures and to read my highlights, click here . His website also provides a wealth of great information in multiple languages, including immediate post op photos and examples of his trichophytic closure. Visit to Dr. Bijan Ferduni hair transplant clinic in Hasselt, Belgium After having spent the last ten years searching for the very best hair transplant physicians, it's rare to discover an outstanding physician who is not on our community. When it happens it's as exciting as finding a giant gem after digging through rocks for days. That excitement is what I felt after watching Dr. Feriduni and his staff perform truly refined follicular unit grafting. Their attention to detail, donor closure, microscopic graft cutting and graft placing were all excellent. His trichophytic closure technique was one of the most refined that I've ever seen. Dr. Feriduni offers his patients both ultra refined follicular unit grafting and follicular unit extraction (FUE), with many of his FUE cases exceeding 1,000 grafts in one day. Dr. Feriduni provides free and very personable consultations in English, French, German and Flemmish. I look forward to making more information available about Dr. Feriduni and his outstanding clinic. To see highlights from my visit to his clinic, click here . Visit to the ProHair FUE hair transplant clinic in Mechelen, Belgium In May of 2007 at the ESHRS meeting in Paris Dr. Ilter announced to his colleagues that he was regularly performing FUE mega sessions of up to 3,000 grafts per day with follicle transaction rates that he believes are under 1 percent, while using punches that are as small as 0.6mm. Such claims certainly raised some eyebrows and skepticism among many of his colleagues. Dr. Ilter responded by inviting his physician colleagues to visit him at either the Pro Hair Clinic in Belgium or the Ilter clinic in Stockholm, Sweden to watch him do it. Bart, who posts on our forum as "Bverotti" and who works as a patient consultant for the Pro Hair Clinic, also announced this claim on this and other discussion forums. He was also met with skepticism. Bart extended an invitation to me to visit the Pro Hair Clinic to see for myself. Having watched FUE be born and heavily oversold on the Internet years ago, I've always been skeptical of its value given its relative high cost, shaving of the entire donor area, small session sizes and potential for follicle transaction and damage. However, if most of these limitations were over come I'd be the first to want to see it for myself. If FUE could indeed be done in mega sessions with minimal follicle transaction and cosmetically undetectable scars due to the tiny 0.6 and 0.7mm punches then this would make the procedure much more viable and appealing. So I did visit the Pro Hair Clinic during my time in Belgium. Unfortunately, the surgery that was scheduled during the day of my visit was canceled unexpectedly by the patient. I would have really liked to stand by and watch them do a 1,500 plus graft session in one day. However, I did have an opportunity to meet with Bart and visit the Pro Hair Clinic. Bart is a true believer in FUE mega sessions and had FUE surgery with Dr. Jones in Toronto and more recently he did a one day FUE session of 1,850 grafts with Dr. Ilter. I enjoyed meeting with Bart and found him to have a genuine enthusiasm for the big session FUE surgeries. When he showed me the 0.6 and 0.7mm punches that they use I was amazed at how small they were. To see photos of these punches and the clinic, click here. Hard to imagine that such tiny punches could successfully extract one hair follicles let alone two and three hair ones with transaction rates of less than one percent. But Bart claims that the physicians, who do FUE all day every day, develop the ability to feel their way around the follicle as they rotate the punch down and around the follicles. While Dr. Ilter does on occasion perform surgery at the Pro Hair Clinic in Belgium, he primarily does the majority of his surgeries at his Ilter Clinic in Stockholm, Sweden. The majority of FUE surgeries performed at the Pro Hair Clinic are performed by Dr. DeReys, who was trained by Dr. Ilter. While I will remain skeptical until I see more evidence of the success of such FUE mega sessions I will keep an open mind. After all, I remember when most physicians resisted the early strip mega sessions that were 1,500 grafts ??“ claiming that the scalp could not support such giant sessions and that such tiny grafts could not possibly create density. Dr. Bill Rassman's response to such nay saying is a classic ??“ "Those who say it can't be done should not stand in the way of those who are doing it everyday." FUE mega sessions? Have they really arrived? I expect we will all know much more in the months to come. Highlights from Pat's Visit to Leading Clinics in the United Kingdom: Over the years the UK has earned a reputation online for generally providing outdated, sub pare and even harmful hair transplant results. Most of the UK hair transplant clinics in my opinion simply provide sub pare techniques and results. However, I believe there are two clinics in the UK that are heads and shoulders above the rest of the UK clinics. I chose to visit these two, while the other clinics in my opinion and in the opinion of many others were not worth visiting. These two UK based clinics are the Roger's clinic and the Farjo Medical Centre. Visit to the Farjo Medical Centre in Manchester, England After watching Dr. Bessam Farjo and his wife Dr. Nilofer Farjo and their staff in action over two days and two impressive ultra refined surgeries, I was very pleased to see that they have successfully incorporated all of the most important recent advances in hair restoration into their clinic and procedure. All of their grafts are carefully trimmed under microscopes, with Dr. Nilofer Farjo closely supervising the medical technicians, while cutting and placing grafts herself. Both Bessam and Nilofer also create all the carefully oriented and minimally invasive graft incisions using custom cut blades that are as small as 0.7mm. Their use of small incisions enables their patients to achieve greater density in a single session, while experiencing quicker healing. They take a team approach to the surgery with all hands on deck and working well together. Given the size and skill of the team the clinic can perform large sessions in excess of 3,000 grafts when appropriate for the patient. They typically limit themselves to one patient a day to achieve an optimal level of care. Their donor strip removal and trichophytic closure are also very state of the art with care taken to minimize any follicle transaction or scarring in the donor area. In short, in my opinion, the quality of care and service being provided by the Farjo clinic is on pare with leading clinics in North America. To view highlights from the two days that I observed surgery at the Farjo Medical Centre, click here . Visit to the Rogers Clinic in London and Stratford-Upon-Avon Recently in reading the UK based hair loss forum, Stop Hair Loss Now, I was impressed by how forth right Dr. Rogers was in responding to the concerns of UK patients and hair loss suffers. His willingness to engage in open dialog on this forum and be publicly accountable for his patient results, as well as share his own recent hair transplant experience online has earned him a degree of respect with the members of this forum and with me. After speaking with Dr. Rogers by telephone and learning that he was adopting leading edge refinements such as using tiny custom cut blades as small as 0.8mm and moving toward bigger high density sessions, I decided to visit his clinic and observe him and his lovely associate, Dr. Alexandra Stevenson, performing surgery.After learning that Dr. Rogers was moving toward adopting leading edge refinements such as using tiny custom cut blades as small as 0.8mm and moving toward bigger high density sessions, I decided to visit his clinic and observe him and his lovely associate, Dr. Alexandra Stevenson, performing surgery. After visiting with them over two days, my impression of Dr. Rogers, Dr. Stevenson and their staff is that they are ethical and striving to do quality work for their patients. Dr. Rogers is well aware of the ultra refined surgical techniques being used by the leading hair transplant clinics in North America and has made progress in recent years in implementing some of these evolutions in technique, including smaller and less invasive incisions. Dr. Rogers and Dr. Stevenson also take great care in how they remove the donor tissue and they do a double layer trichophytic closure. However, they are still not doing all microscopic dissection. They do use microscopes for trimming the donor strip into smaller sections (a process referred to as "slivering") and for some of the grafts. Yet most of the techs are only using back lighting with eye loops or no loops at all. In my opinion, based on observation, published studies and input from dozens of leading physicians, all microscopic graft dissection is important if a clinic is going to successfully perform ultra refined follicular unit grafting with optimal results. I hope that they will adopt all microscopic dissection in the coming months. If they do, I think that their procedure has the potential to be world class. Dr. Roger's has over ten years experience in performing hair transplantation and performs sessions of up to 3,000 all follicular unit grafts. Dr. Stevenson has been doing hair transplantation for over two years and learned her techniques from Dr. Rogers. While the quality of her work is very high, her session sizes are typically limited to around 1,500 grafts. In my opinion, if she aspires to be competitive online on a world wide playing field she will need to move beyond her comfort zone and perform bigger sessions when appropriate for her patients. In general I believe that the Rogers Clinic and its committed staff are doing vastly better hair transplantation than other hair transplant clinics in the UK, with the exception of the Farjo Clinic. I expect that they will in time rise to the challenge of doing all microscopic dissection in the coming months. I look forward to monitoring their progress and patient reports and in time recommending them on our community once they meet our high standards (To view our standards for recommendation, visit http://www.hairtransplantnetwork.com/Consult-a-Physicia...tion-physicians.asp). To view highlights and photos from my two day visit, click here . Hair Transplant Clinics in Ireland Dr. Maurice Collins - Dublin I visited Dr. Maurice Collins' clinic in Dublin about two years ago when he was in the early stages of establishing his hair restoration clinic at the Black Rock Clinic. Previously Dr. Collins had been very diligent in attending all the major hair transplant conferences and visiting leading clinics to learn about the optimal procedures and techniques. Dr. Collins spared no expense in setting up a state of the art facility with a quality staff. While his procedure looked solid and physicians visiting more recently have spoken highly of his procedure, I find that his prices are very high - as much as 20,000 euros ($28,000) for a 2,000 graft session. He also charges 250 euros for his consultations. Given such high prices I could not in good conscious recommend his clinic. Dr. Conor Kiely - Cork I met Dr. Kiely at some of the international hair transplant meetings in recent years. He impressed me as having a genuine interest in learning about the best hair transplant techniques and procedures. He also invested time in visiting with some of the leading hair transplant surgeons in North America, including Dr. Ron Shapiro and Dr. David Seager. Judging from his website he appears to be performing state of the art follicular unit hair transplantation. But I have gotten very little feedback from his patients. However, I had made travel arrangements and booked flights to observe his surgery at his clinic in Cork, Ireland. Unfortunately, he experienced a family emergency and was not available on the day I was to visit. If any patients of his would care to share their experiences on this forum or with me by email I encourage them to do so.
  10. Hi Will, welcome to the forum. Some will ask if you're on meds, but I'm not one that recommends quickly jumping on Finasteride (Propecia/proscar) because it can cause side effects. But know your options including Fin and Minoxidil. Since you're in the UK I would try to get some consultations - if possible in person sessions - with the elite surgeons in Belgium such as Dr. Feriduni, Dr. Bisanga, Dr. Lupanzula etc. Erdogan is great as well but honestly worry about that part of the world due to the never ending incidents there (another one this weekend).
  11. That seems like a reasonable graft estimate. What is your reason for liking Doganay? (results, price etc.) I would not go with him at the current time and would instead look at Dr. Erdogan or Dr. Keser in Turkey -> both of these clinics will make you shave your entire head so be aware of that, they would not agree to partial shaving after I asked them. Also you should research the Belgian FUE clinics as well, Dr. Bisanga, Lupanzula, *Feriduni (if you can mange to get a booking) etc. anyway good luck
  12. FUT performed on a 61 year old Caucasian male with: - NW III vertex Class T - Donor density of ~70-80 FU/cm2 in the occipital donor region and ~60-70 FU/cm2 in the temporal donor regions - Hair diameter of ~62-74 microns Treatment plan: A Follicular Unit Strip procedure with 3000-3500 follicular units to reconstruct the entire hairline, the central core and crown area. Performed procedure (May 30th, 2013): A Follicular Unit Strip Transplantation with 3500 FU: * 407 single hair FU * 2417 double hair FU * 676 triple hair FU Donor closing in double layer suture technique; Parallel incisions (single, double and triple hair units) were made in custom-sized blades technique (~Cutting Edge blades of 0.75mm – 0.95mm). Dr. B. Feriduni
  13. Thanks harryforreal! Unfortunately I didn't take any pictures with his hair raised. I personally believe that both blades and implanter pens cause a comparable amount of trauma to the scalp and produce similar results, all depends on the size of the implantation tool. Kind regards, Dr. B. Feriduni
  14. Very nice work, Dr. Feriduni. Would like to see both sides of the hairline with the hair raised. The skin in photo 9 is very good. Just no evidence of trauma. Really impressive. Parallel incisions (single, double and triple units) were made in custom-sized blades technique (~Cutting Edge blades of 0.75mm – 0.85mm) Dr. Feriduni, do you feel that blades are less traumatic to the skin than implanter pens? Or that blades produce better aesthetic results?
  15. In the USA I do like Dr. Konior's work. And I have had contact with Dr. Feriduni, so I like his work as well. I will say that many of Feriduni's best results involve a strong forelock or such. If you can transplant hairs behind some soft, native hairs it will look better. An entire lowering of the hairline all the way across, however, is always more challenging for the reason that I've mentioned about moving coarser hairs from the back to the front. But there are some good results here from what you've listed. Ok...So, link by link critique. Objective, yet as critical as I can be simply for the purpose of holding these outcomes to the absolute highest standard - which is no small feat, and the doctors are to be commended on their work. Please don't misunderstand me. But I remind everyone that up close and in person is a whole other level above even the best photography. 1688 Graft Female Hairline Restoration - Hair Loss Surgery - Before and After Gallery: this is a good outcome. But also notice no hair is placed in front of/below the strong forelock. This strong, central forelock aids in giving a natural look to the entire hairline. But the temples look very good, as well. But again, notice there are quite a few soft, native hairs at the front of the temples on the sides (in the original purple rectangles on either side of the forelock). So this is not really a complete hairline lowering, but a filling in of the temples between a strong forelock in the center and soft, native hairs on the sides coming up from the ears. But an excellent outcome nonetheless, yes. One question worth asking is how do the transplanted hairs feel to the touch? Yes, I ask this because I constantly reach up and touch my transplanted hairs and notice the coarser feel in contrast to the softer feel on my sides above my ears. Something for consideration for someone thinking of a hair transplant. Also the post op hair appears to be a different color from the pre-op hair; I mean, as if it has been colored. If so, the coloring is going to contribute to a uniformity of color amongst native and transplanted hairs at the front. Just an observation. But again, an excellent outcome. Skin looks very nice, not beat up; MAYBE a slight pinkish hue at the temples. But again, I'm being as critical as I can be so others can think of things to consider when thinking about a hair transplant. 2141 Grafts by Dr. Konior - Hair Loss Surgery - Before and After Gallery: This one the hairline lowering occurs directly in the center front. Several things to consider. The patient appears to be Asian, and both the skin tone and hair color are darker, with presumably thicker, coarser hair. I've heard it said that darker skin tones recover from redness much quicker/better than lighter skin tones. That being said, the hairs at the front of the hairline in the pre-op photo are not black, but actually brown (or appear that way to me). But after the transplant, the newly transplanted hairs in the center are definitely thicker and blacker. As long as the patient is ok with this darker hair color, then that seems fine to me. For me this was quite the shock in my hair transplant, and is a great disappointment - I love the golden highlights on the native hairs on the sides of my temples above my ears and miss them across the front of my hair line. I assumed that transplanted hairs across the front of my hairline would be similarly golden toned and soft. I had no idea that my hair color would actually end up being darker across the front of my head; and even my dad asked (whom I didn't tell), "Are you getting darker across the front of your head?" My response was, "Yes, and grayer also." Perhaps it's not so noticeable in Asian hair, but in my hairline it just looks weird having this dark, thin band across the front of my hairline. In this patient's "Postop Part Density" photo it appears this difference in hair characteristic is most noticeable - but admittedly only when held up to the highest scrutiny. As seems typical for Konior, an excellent result. Hairline Feminization by Dr. Konior - Hair Loss Surgery - Before and After Gallery Ehhh.....this one I'm not so crazy about. I've looked at this one before (several years ago). The main issue for me here is the coarseness of the transplanted hair to the front of the hairline. This is most readily apparent in the photo labeled, "Postop Transplant Density Inspection". You can clearly see where the transplanted hairs end, and the native hairs begin just based on the difference in coarse and softer native hairs. This picture is long enough after the transplant for the patient to grow hair long, so presumably long enough for the hair follicle to "recover". Also the redness on the skin is certainly still visible. Do you think this is 2 years worth of hair growth? No, I don't like it. I've used a straightening iron to "soften" the coarseness of my transplanted hairs when I've wanted to get dress up or go out. I can tell you, though, when you're swimming in the Mediterranean sea and climbing onto a boat, there's no option for a straightening iron. In the "Postop Temple View" and "Temple View Close-Up" the hair looks very wooly and coarse - same problem I've had, though this patient's transplant is more extensive than mine. Density and technique look good, but I would say skin tone and hair characteristics not a very good match for the procedure. 2161 Graft Female Hairline Restoration - Hair Loss Surgery - Before and After Gallery Another darker haired, darker skinned patient with an excellent outcome by Dr. Konior. | Blog Archive » | Blog Archive »: Although I respect the Shapiro team, these photos are not high definition, and I don't feel I can comment on the patients' outcomes with the same critical eye I have given Dr. Konior's work. http://hairtransplantation.feriduni....uction-2044-fu: Another darker skinned, coarser hair patient. In the bottom photo it's clear the transplanted hairs are thicker and coarser. Overall looks to be a nice job, though some better photos of the hairline and skin would make it easier to provide a more accurate assessment. http://hairtransplantation.feriduni....uction-1982-fu Classic feriduni. Strong forelock remains intact and in front of entire transplant, providing a soft and real, natural front to the hairline. It is interesting to note that the patient's hair is styled differently in the after photos - looks like maybe a sheen applied, and some coloring, and hair straightening; thus, the natural texture of all hairs, transplanted and native, is going to masked. I say again based on personal experience, a $50.00 straightening iron is very helpful in "taming" the coarseness. It doesn't make the transplanted hairs soft and whispy, but it does tame some of the coarse wildness. But the skin tone looks excellent - no redness, no bumps. Patient's skin looks a little bit darker - Spanish? Anyway, this clinic is known for top quality work, and having received an online quote personally, I can say the price reflects that. One question, though, in the bottom photo, does it seem that an effect has been added around the photos edges? Like a kind of soft, blurring that is common in photo editing? What's with the grey mist floating into the hair? Is it on the other photos as well? A great technique when having your photo taken at prom; not so sure about for hair transplant work. But I like Feriduni's work. https://vimeopro.com/user23345553/lu...video/86347848 Yeah, not so crazy about it. Look at around the 1:02 mark. Look at the bumpy quality where each graft exits the skin. I wonder if this is an effect of implanter pens. Implanter pens were used on my head, and I had a lot of the same. But also double grafts will contribute to that look. At 1:27 you can see clearly the difference in the size of the hair where the transplant ends and the native hairs begin. The whole thing looks off. This is a lighter skinned caucasian. And knowing this clinic, this was not a cheap procedure. Fail. Surgically the hairs grew. Aesthetically: Fail. Yeah, I know, I'm speaking blasphemy against the high god of hair transplant. Eh, I'm already Hell bound, so what's one more sin? https://vimeopro.com/user23345553/lu...ideo/122408519 Eh....same thing. @ 0:42 freeze the frame and you see the same effect - though it's a little blurrier. Video quality is not the greatest. Also the skin is definitely pink where the transplanted hairs were placed. Pinko's be wary. https://vimeopro.com/user23345553/lu...video/81667156 Again, poorer video quality. Pre-high definition? Hard to say as a result. Looks a bit better. But look at 0:47 freeze frame. Isn't the first inch or so of transplanted hairs darker (the hairs laying down, not the ones being held up)? It's rather hard to tell because the video quality just isn't there. Also the skin is a little pink...or something...maybe? Hard to tell so well because of the video quality. Oh...wait. Freeze frame 2:08. Yeah, you can definitely see a good inch into the hair along the part the hair suddenly becomes lighter and finer. But it's hard to tell, especially with this video quality. It will be interesting to see now that photo and video quality is becoming so incredibly good how well these clinics hold up under the most intense visual scrutiny. But overall it looks good. Not amazing. But good. But that was a lot of area to fill in. https://vimeopro.com/user23345553/lu...video/81563411 Again, not the best video quality. What's with the wet hair in the after photos? Well, anyway, it's ok. I see some pink skin, some bumpy texture around 1:22. Yeah, it's ok. Not beautiful. Ok. So there you have it. A play by play commentary. Again, Given that you're moving individual hair follicles from one part of the head to another, it's impressive. Whether it passes the "soft and natural" test is another. I like Dr. Konior's work, and Feriduni's. One thing that seems common is that lighter skin tones still have a pinkish hue 1-2 years after the transplant. Alright, sleepy... checking out now. And remember, I was being the utmost critical I could be, relentlessly so. I am not saying this is bad work. In fact, I've said just the opposite. However, there really are limits to what can be done, I think.
  16. Check out these, they look pretty natural to me: 1688 Graft Female Hairline Restoration - Hair Loss Surgery - Before and After Gallery 2141 Grafts by Dr. Konior - Hair Loss Surgery - Before and After Gallery Hairline Feminization by Dr. Konior - Hair Loss Surgery - Before and After Gallery 2161 Graft Female Hairline Restoration - Hair Loss Surgery - Before and After Gallery | Blog Archive » | Blog Archive » http://hairtransplantation.feriduni.com/pictures-videos-references/hairloss-in-women/hairline-lowering/fut-female-hairline-reconstruction-2044-fu http://hairtransplantation.feriduni.com/pictures-videos-references/hairloss-in-women/hairline-lowering/fut-female-hairline-reconstruction-1982-fu https://vimeopro.com/user23345553/ludwig-1-2-3/video/86347848 https://vimeopro.com/user23345553/ludwig-1-2-3/video/122408519 https://vimeopro.com/user23345553/ludwig-1-2-3/video/81667156 https://vimeopro.com/user23345553/ludwig-1-2-3/video/81563411
  17. I don't know, some of his older FUT videos look nasty and we've discussed this here on HRN. He's very good at FUE though. If price is an issue for FUE surgery try to look at the recommended European clinics out there, they are in the range of 2.5-6 euros/graft. Most except Feriduni have shorter waiting lists of couple months only. Asmed at 2.5 euro and Dr. Lupanzula at 4.5 euros I think you can get a booking 2-3 months down the road or sooner if smaller case or if cancellation opens up even sooner for example.
  18. I think there a few (Dr. Ball??) but the best ones in Europe are a short plane ride away in Belgium etc. (Feriduni, Bisanga, Lupanzula etc.) Would consider looking a bit further for the very best surgeon.
  19. Follicular Unit Extraction performed on a 43 year old Caucasian male with: - NW IIa - Donor density of ~92-104 FU/cm2 in the occipital donor region and ~80-88 FU/cm2 in the temporal donor regions - Hair diameter of ~54-62 microns Treatment plan: FUE procedure with 1500-1700 FU to reconstruct the temples and hairline Performed procedure (February, 5th & 6th 2013): A Follicular Unit Extraction with 1500 FU in a single day session: * 519 single hair FU * 891 double and triple hair FU Extraction performed with a 0.85mm FUE punch with CIT Manual Punch Handle. No microscopic preparation of the follicular unit grafts; Parallel incisions (single, double and triple units) were made in custom-sized blades technique (~Cutting Edge blades of 0.70mm – 0.85mm). Dr. B. Feriduni
  20. We talked about European FUE clinic prices in this thread below. Dr Lorenzo and Dr. Feriduni have the longer waiting lists, Bisanga and Erdogan (ASMED) have waiting lists most times of the year at a few months out so are easier to book with. http://www.hairrestorationnetwork.com/eve/185092-best-affordable-place-surgery-europe.html
  21. The first World FUE Institute Workshop put on by the World FUE Institute (WFI) took place in the Canary Islands, Spain on Nov. 11-13, 2016.This newly formed society consists of hair transplant physicians from across the globe that place special emphasis on the advancement of FUE.The Institute exists to further the study of FUE and to form an educational space for physicians to further the field.Dr. Jose Lorenzo of Spain and Dr. Koray Erdogan of Turkey are the current president and vice president of the organization.They worked tirelessly to put together an excellent educational offering.Drs. Alejandro Chueco, Antonio Ruston, Alex Ginzburg, Bijan Feriduni, Hussain Rahal, Emorane Lupanzula, and Ron Shapiro were the other members of the faculty who each delivered countless lectures and performed surgeries in the afternoons. The location was ideal for the meeting and took place on the Spanish island of Tenerife off the coast of Africa. The weather was comfortable and the beaches along the coast were beautiful.There was a good turnout for a first meeting with around 50 physicians in attendance.I was honored to have attended and to have been asked to perform one of the live surgeries during the workshop. Day 1 started with an incredible amount of activity.In the morning there were a tremendous amount of educational lectures aimed at not only the beginning FUE surgeon but also those more advanced.There were lectures about the various types of FUE devices currently available as well as those being developed.Dr. Chueco discussed the different types of individual punches and how one can differentiate one size and type from another.Those in attendance were introduced to a new and exciting FUE device from Dr. Trivillini called the Mamba.It uses suction to stabilize the graft and also vibration to free it from the underlying tissues.Dr. Shapiro discussed the new motorized flat device from Dr. Jean DeVroye called the WAW.This device marries the ease and precision of a sharp punch with the transection-limiting nature of a blunt punch, giving a large percentage of high quality grafts. Drs. Erdogan and Lorenzo discussed a new topic in FUE planning called “Coverage Value.” This topic is sure to become very common for all FUE physicians in their surgical planning for the patient in the near future.The idea here is that the patient prior to surgery will be assigned a number based on their hair caliber, density and area of donor.Using this number (coverage value), the physician can determine how many procedures need to be done in a certain area to give a desired effect.Also, and just as importantly, the patient can find out how many grafts can safely be transplanted in their lifetime. There were talks given later that morning concerning the best way to place FUE grafts. Some physicians use forceps while an ever growing number of others are using implanters.The pros and cons of each were discussed.Finally, a description of the various types of FUE devices (manual, motorized, flat) was given prior to the actual live surgical observation. The first afternoon consisted of one case performed by Dr. Lorenzo. The interesting aspect of this case was that he used 4 different types of FUE devices on the same patient.He used the manual, Mamba, blunt, and WAW (DeVroye) systems. Day 2 again started very early with lectures.The first lectures from Dr. Ruston discussed ways of increasing the speed and efficiency of FUE extractions.Later some lectures went over potential complications of doing very large sessions (gigasessions of 4000+). Some of the talks dealt with the rising wave of poor quality work that is being done by inexperienced clinics throughout the world. There were a few lectures on how to tackle these cases and how to go about correcting poor work that was done.FUE into scars was a topic covered as well as using SMP (scalp micropigmentation) into areas. The afternoon consisted of 4 different patients performed by 4 different surgeons. The attendees were able to move about from room to room asking the various surgeons specific questions along the way.Dr. Ginzburg used his cordless motorized sharp device and placed those grafts with implanters.A manual technique with the patient in the upright seated position was demonstrated by Dr. Erdogan.He followed this by showing his new device called the “Keep” to assist in placing the grafts with forceps.Dr. Ruston used a motorized sharp system to extract while showing how he does the stick-and-place for placing the grafts.Finally, Dr. Feriduni also used a manual device with both an oscillation and non-oscillation technique to remove the grafts. Day 3 started with a discussion of the ethical way of performing hair transplantation on patients.Physicians also heard a lecture by Dr. Ruston about the “Red Flags,” or things that all surgeons need to be on the lookout for to avoid performing surgery on a poor candidate.There were also a few interesting lectures about body hair transplantation.Beard and body hair were discussed as alternate sources of donor in addition to the scalp.A specialized technique for eyelash transplantation was demonstrated by Dr. Feriduni. Poor growth and the depletion of the donor area was a topic of discussion as well. There was talk about ways to improve growth and to diminish poor yield in all FUE patients.Dr. Shapiro delivered his popular hairline talk showing the proper planning and placement of a natural-appearing hairline.Other physician speakers discussed their different techniques in designing an age-appropriate hairline. The final day of the workshop ended with another 4 surgeries performed by 4 surgeons. Dr. Lorenzo demonstrated the manual sharp technique on his patient.These grafts were placed with implanters which is common in his clinic.Dr. David Josephitis demonstrated the new WAW flat motorized device in another patient.This new device contains a foot pedal with adjustable speed and oscillation which allows the physician to tailor the speed and movement of the punch to minimize the transection rate and maximize the number of quality grafts.Drs. Lupanzula and Cueco demonstrated their techniques followed by the use of implanters for their cases. Overall, the first workshop of the WFI was a success.Ideas were openly shared in a friendly and collegial atmosphere.Many physicians walked away with new ideas and techniques to try out in their own clinics.
  22. FUE and scar revision performed on a 28 year old Caucasian male with: - Hair loss in hairline and vertex, and scar in right temporal region caused by a car accident - Donor density of 72-80 FU/cm2 - Hair diameter of ~70-80 µm Treatment plan: - A Follicular Unit Extraction with 700-900 FU to reconstruct and add density to the hairline (right side) and vertex (right side) - Revision of scar in right temporal region in Trichophytic closure technique - Preparation of the follicular units from the scar strip Performed procedure (August 8th, 2013): A Follicular Unit Extraction with 917 FU: 371 single hair FU from scar strip 38 single hair FU from FUE 333 double/triple hair FU from scar strip 175 double/triple hair FU from FUE Ʃ: 917 FU Wound closing in 2mm lower edge Trichophytic Closure Technique (double layer suture); Parallel incisions in custom-sized blades technique (~Cutting Edge blades of 0.7mm – 0.9mm). Dr. Bijan Feriduni
  23. (I've written this in other forums in Aug.2012) ​Hello, it's been 7 months since the day of surgery, set new hope towards a full hair restoration which I dreamed of it over 18 years of the relentless battle against my hair loss. Finally I found the hand to bring cure! in my early stages like everyone panic of his first hairs pulled in the brush, in the towel or left on the pillow, starts to do everything just to stop it! and again like everyone I've started with snakeoils, vitamins.....etc. Sure nothing worked. That time there wasn't the poison/propecia yet in the market to try it at that age! At 28 I started with Minoxidil, the first 4 months I was happy, in 6 months I started to lose some of newly grown hairs. But I must say it helped me a bit so I continued with it up to date, I'm 39 now. During this long and sever period of time I continue to run to the pharmacy as soon as I hear/see any ad. of some new product with rubbish before and after pics. I was born and killed every time with every new product! You live the hope over 4 to 6 months sleep with it, wake up with it..... at the end you reach the crash point. The massive emotional impact deepened day by day spoiling my life, resulted in, me hypertensive, addicted on sleeping pills and a lot more. Since my teenage I started to attract tons of chicks, I used to cherish my appearance! All cheers faded and too early, I've poured lot of tears, but all in vain. In my 34 I started to look in the surgery solution as a final resort! that time I lived in Kuwait so I started to search and read I've ended with some Doc in Turkey picked his name of one of the forums, I was naive enough to plan a surgery by him, flied to Istanbul get butchered by him the next day, it was the classic strip method with +2500 FUs, flied back to Kuwait with a big pain in the head, but with new hope!.....After 6 months.... nothing, 8,9, 1year, 18 months.... also nothing. I felt it was the end, really I wished to die. Lots of people in some other forums strongly blamed me as I'm a diffuse thinner so a shock loss is more potential in my case, I got some but didn't add much to my sorrow! I've started with propecia according to people's advice at the forums. 3 years later low erection and less body hair but no improvement in the scalp, balding continued. Shave it? and forget about it, as many people say! I know it doesn't go with my face, however, I did it, but the scar in the back was terrible! I did everything possible but nothing!! I'm still not convinced and can't be accept the fact that am bald, I hate look in the mirror, avoid lights, shops mirrors bring lot of sadness and tension, I want to do something but what can I do hairpiece?! it's funny and of course unnatural! spraying my head black... What exactly can I do?! But I must do. I lost my job in Kuwait and according to the political and security circumstances in my country (Iraq), I left to Belgium, I Know that many well-reputed HT doctors based in this country. So, I've started to think again of the surgical solution with lot of skepticism due to the fact of non-growth. The high cost also can make it unaffordable. I’ve started my researches over Docs here, I’ve highlighted 3 names ad fixed consultation dates. The Docs were; Devroye, Bisanga, Feriduni. The first consultation was with Dr.Devroye, he was not convincing at all, he told me about two cases of his patients with no growth after surgery, honestly I was scared and I have the right to be, I have experience with it! And also I didn’t like the way he dealed with me he had no time to hear and answer all of my questions, so I put an X Now I have 2 names. The next consult. was with Dr.Bisanga, I can say he was attentive and he answered all of my questions. However he couldn’t eliminate my fears! And I was scared to read one or two stories of his unhappy patients! The 3rd With Dr.Feriduni he was really nice guy and welcoming, we talked about everything and his attitude is very encouraging to talk to him about all of your concerns. I left with comfort, he was confidant of his job and the most what I really liked, I felt he was willing to help. I fixed another consult. With him just to be sure before deciding, and as I wished my feelings were confirmed, moreover I felt that he was thinking as it was his problem, offering many options. The grand decision; With no hesitance, we planned a HT with dr.Feriduni, it was strip to correct the scar and small number of BHT as a test, to find new donor source rather than my exhausted scalp! The grafts number extracted were around 1400 + 200 BHT from chest + 20 beard H The surgery went smoothly and the post-op following up by the Doc and his staff was also excellent. But I must say that the ladies just all women they like to talk and chat together and for long time it was a bit annoying but it was just wanted them to finish their job. The way of healing then the shedding of grafted hair everything went as I was informed, so the early signs were perfect, I had the feeling of growth is coming! This surgery was followed by a minor one of 200 FUE scalp + 200 beard. In about the 4th month –of the 1st op- I started to detect some result and some hairs coming out, I was glad with every new hair sprouting, I wished that I had more hairs to transplant to cover all of my head, the Doc has reconstructed my hairline and filled in my right temple as it was empty more than the left side. The bad thing was the scar as I developed a hypertrophic scar, it was fine in two weeks post-op but tended to be itching and there was redness and later it started swelling, but I’m not really scared, the doctor is very reliable and promised to solve it out with him, I’m undergoing some treatment in his clinic and things going better. He also promised to work together until the full restoration, I really like him, and I’m glad so far with lot of hopes ahead! It's been 7 months by now. I'll add pictures soon
  24. Follicular Unit Extraction performed on a 27 year old Caucasian male with: - NW III Class R - Donor density of ~96 FU/cm2 in the occipital donor region and ~84 FU/cm2 in the temporal donor regions - Hair diameter of ~72-78 microns Treatment plan: FUE procedure with 3000-3400 FU to reconstruct the hairline, temporal peaks and add density to the central core Performed procedure (February, 5th & 6th 2013): A Follicular Unit Extraction with 3319 FU in a two consecutive days session: * 671 single hair FU * 2101 double hair FU * 547 triple hair FU Extraction performed with a 0.85mm – 0.9mm FUE punch with CIT Manual Punch Handle. No microscopic preparation of the follicular unit grafts; Parallel incisions (single, double and triple units) were made in custom-sized blades technique (~Cutting Edge blades of 0.75mm – 0.9mm). Dr. B. Feriduni
  25. FUT performed on a Caucasian male with: - NW III anterior Class N - Donor density of 76-84 FU/cm2 - Hair diameter of ~60-68 µm - ‘Mini- and Punch grafts’ from a former procedure in 2011 (ex domo) Treatment plan: - A Follicular Unit Strip Transplantation with 2500-3000FU to attain an aesthetic reconstruction of the entire hairline, temporal recessions and temporal peaks - Extraction of ‘Minigrafts’ from the hairline through FUE - Excision of wrong-placed ‘Punch grafts’ from the hairline Performed procedure (November 16th, 2012): A Follicular Unit Strip Transplantation with 2922 FU 662 single hair FU 1635 double hair FU 565 triple hair FU Ʃ: 2862 FU + 60 FU out of Minigraft extraction and Punch graft excision Ʃ: 2922 FU Double layer closing with Monocryl 4-0 absorbable sutures and disposable skin staples; Parallel incisions in custom-sized blades technique (~Cutting Edge blades of 0.75mm – 0.90mm). Dr. Bijan Feriduni
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