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  1. Recently, the Publishers of this community attended the 16th annual ISHRS scientific meeting held in Montreal from September 3rd to the 7th. See the official Press Release. Though many topics were discussed, this report will highlight topics that may be of most interest to hair loss sufferers. Many of these topics have been discussed and debated by patients for years on this hair loss forum. Topics include optimal hairline design and density, minimizing the appearance of the donor scar, using all follicular units (FUs) verses some multi follicular units (MFUs), FUE Megasessions, and complications with perpendicular (coronal/lateral) incisions and dense packing difficulties. There was a brief presentation on advances in hair biology discussing the latest research on cellular and molecular controls of follicular development and growth. However, because the Publishers of this community were not able to attend this presentation, this report won't contain any new information on this topic. The attention to detail at these meetings is certainly very impressive and surgeons who regularly attend deserve to be commended for their dedication to continuing education. Background on the ISHRS and Meetings The primary mission of the ISHRS (International Society of Hair Restoration Surgery) is to educate hair restoration physicians from the beginner to the master. It is by far the most prominent hair restoration professional organization in the world and the host of the five day annual scientific meeting. Their website (http://www.ISHRS.org) provides useful information about hair restoration and profiles and contact information for its 700 worldwide physician members. Many of the physicians well recognized by patients online for achieving excellent results have also become well known and respected by their colleagues as leaders and teachers in the industry. Many leading physicians recommended by this community led or were a part of every discussion panel. This year, Coalition member Dr. Arthur Tykocinski of Brazil did the hard work of chairing the meeting with help from his co-chairs. Last year's ISHRS meeting was chaired by Coalition member Dr. Sharon Keene of Tucson, Arizona. At the meeting, recommended surgeon Dr. Bill Parsley of Louisville, KY replaced Coalition member Dr. Bessam Farjo as the acting President for the coming year. Physician Recognition and Awards: The "Platinum" and "Golden" Follicle The "Platinum" and "Gold" follicle awards are the highest honors given to leading surgeons in hair restoration by the ISHRS at each meeting. These awards recognize outstanding achievement in basic scientific or clinically-related research in hair pathophysiology or anatomy as it relates to hair restoration. This year, two outstanding physicians have been recognized by their peers and given the highest honor of the "Platinum" and "Golden" follicle awards. A special congratulations to Coalition member Dr. Jerry Cooley of Charlotte, NC who received the Platinum follicle award and Coalition member Dr. Paul Rose of Tampa, FL who was given the Golden Follicle Award. These two surgeons have been recognized for years by their patients online for consistently producing excellent results. No wonder their peers have recognized them as leaders and teachers in the hair restoration field. Both surgeons were respectfully given a standing ovation by their colleagues. Based on the outstanding reviews online by their patients, had they been there, the applause would have shaken the foundation. Presentations at the ISHRS meeting of particular interest to Hair Loss Sufferers: Hairline Design and Optimal Density Natural hairline reconstruction is probably one of the most important factors considered by prospective patients and one of the greatest challenges hair transplant surgeons face on a daily basis. Combining numbers of grafts with artistic design, a surgeon must recreate an age appropriate, natural looking hairline with suitable density to achieve an optimal cosmetic improvement. Hairline Design In a hairline demonstration panel discussion led by Dr. Knudsen of Australia, a few top surgeons in the field including Dr. Ron Shapiro, Dr. Arthur Tykocinski, Dr. William Parsley, and Dr. Walter Unger presented their approach to hairline design on the same few patients for compare, contrast, and discussion. Though each hairline design was aesthetically pleasing to the eye, each hairline was uniquely and creatively crafted based on scientific principles of measurement and individual experience and artistry. Patients needing hairline reconstruction should discuss a surgeon's approach with those they are considering and look through patient photo galleries that demonstrate their artistry. Hairline Density High density hair transplants are often hyped online giving forum members the impression that surgeons who produce the greatest densities (in FU/cm2) are the best in the industry. But are higher densities always superior? What about in particular for the hairline? In a presentation and discussion led by Coalition member Dr. Sharon Keene on maximum verses cosmetic densities, a few leading hair restoration physicians presented varying densities. Surgeons representing the 35-45 FU/cm2 side of the debate include Coalition member Dr. Robert Bernstein, recommended physician Dr. William Parsley, and Dr. Walter Unger. On the 50-70 FU/cm2 side of the debate, Coalition member Dr. Thomas Nakatsui and recommended physician Dr. Melike Kulahci were represented. Each set of photos including those representing lower and higher densities were artistic with attention to detail. So the question remains, are higher densities necessary if lower densities can achieve the same cosmetic appearance? Where higher densities may be needed is when a patient steps under harsh lighting. Hair characteristics surprisingly were not discussed, but plays a huge role in the number of FU/cm2 needed to achieve proper hairline naturalness and density. Dr. Keene believes that studying natural hairline density in non-hair loss suffering patients is the only way to conclude appropriate density needed for the hairline. Dr. Keene suggests based on her anecdotal findings that natural hairline density in non-hair loss sufferers is only between 40-50 FU/cm2 on the average as opposed to the conjectured 80. If her findings prove accurate, surgeons may very well re-evaluate the need to densely pack greater numbers in such a small area. Before Dr. Keene feels comfortable drawing final conclusions however, she intends on increasing her sample size to at least 50 subjects. Creating an Optimal and Invisible Scar Minimizing the appearance of the donor scar is a high priority for most hair transplant patients and leading hair restoration physicians alike. That's why creating an optimal donor scar is a hot topic not only on our hair loss forum, but also amongst leading physicians at the ISHRS scientific meeting this year. The trichophytic closure technique has been labeled the "Gold Standard" by a number of leading physicians including Coalition member Dr. Robert Haber. This method involves trimming the edge of one side of the wound and overlapping the layers to complete the procedure. This allows non-harvested hair to grow through the wound, masking the appearance of the scar. But should the trichophytic closure technique be used during every hair transplant procedure? Coalition members Dr. Robert Haber and Dr. William Reed admit that there are always exceptions, but advocate its use in all cases "possible" since it increases the probability of a minimal scar. Coalition member Dr. Bill Rassman and recommended physician Dr. Michael Beehner argue that use of the trichophytic closure technique is best reserved for the "last" procedure in order to preserve scalp elasticity for subsequent procedures to come. Surgeons agree that the trichophytic closure technique is best implemented with minimal tension to reduce the risk of scar stretching. In the event of a difficult wound closure, even those presented advocates of always using the trichophytic closure technique will use a standard closure to minimize tension on the wound. It makes sense to preserve scalp elasticity for patients intending to have multiple procedures however, whether or not the patient will return for subsequent sessions is not guaranteed. All Follicular Units verses Mixed Grafts Since the advancement in hair restoration and the preference by many leading hair restoration physicians toward all follicular units (hairs as they occur naturally in the scalp), there has been some debate on whether or not it's acceptable to mix multi unit grafts (called MUGs) with follicular units (FUs) and still create a natural looking hair transplant. Multi unit grafts contain follicular units similar but distinct from minigrafts. However, when MUGs are carefully trimmed under microscopes into refined double follicular units (DFUs ??“ two distinct follicular units very close together) or follicular families (follicular units in close proximity), MUGs are often much smaller and can be easily camouflaged. Old school minigrafts are typically bulkier even though they may or may not contain the same number of hairs as MUGs. Arguments for using all follicular units include creating the most natural looking head of hair without appearing "pluggy" or "grafty" and the ability to densely pack grafts close together in a single session. Advocates of the occasional use of MUGs mixed with follicular units argue that the transplanted MUGs cannot be spotted in qualified patients, looks completely natural, and create a greater illusion of density. Coalition member Dr. Bill Rassman admits that using MUGs should be reserved for male patients with blond fine hair and in female patients where scalp to hair contrast ratio is minimal. He also notes that MUGs should also be used in minimal quantity. Some also feel that using some MUGs in patients with gray hair is acceptable. No surgeon on the panel advocated the use of all multi unit grafts to replace follicular units. Perpendicular (Coronal/Lateral) verses Parallel (Sagital) Incisions Perpendicular incisions (commonly referred to as the "lateral slit technique" or coronal incisions) have a number of cited advantages such as maximizing the shingling effect of the follicular units, increased dense packing, and optimizing angulation control of the hair from the scalp. However, as Coalition members Dr. Jerry Wong and Dr. Thomas Nakatsui pointed out in their presentation, there are a few complications to overcome with this technique. While parallel (sagital) incisions slide easily in and out between existing hairs, perpendicular (coronal/lateral) incisions increase the risk to transect existing hair if a surgeon is not extremely careful and accurate. Additionally, perpendicular incisions also tend to disrupt the scalps vasculature more than parallel incisions. Thus parallel incisions transect less hairs and blood vessels, assuming the same size blade. Disrupting the scalps vasculature can lead to an increased risk of avascular necrosis (a disease resulting from temporary or permanent loss of the bloody supply to the bones). Both Dr. Wong and Dr. Nakatsui noted that minimizing these risks include to avoid dense packing in areas of poor vasculature and to avoid making incisions too deep. Dense Packing Complications Large session high density hair transplants are desirable to patients since it typically limits the number of subsequent surgeries needed. And though a handful of leading hair restoration physicians have taken on this challenge when appropriate for the patient, some complications have been cited in a panel discussion led by Dr. William Parsley. Dr. Ron Shapiro and Dr. Michael Beehner shared their experience and expertise on this subject. One debated complication is graft survival at higher densities. Previous studies have been done on graft survival rates that indicate graft survival decreases when density increases. Whereas just about anyone can transplant higher densities, growth yield is debatable. The introduction of smaller blades to make recipient incisions has convinced many leading surgeons that higher densities may produce adequate growth yield, but not in all cases. Dr. Beehner believes that the staff's experience and ability to trim and place grafts safely into recipient sites plays major role in graft survival at higher densities. Dr. Ron Shapiro agrees but also believes that more scientific study is needed. Other complications include increased risk of necrosis, "shock loss" to existing hairs, abnormal distribution of hair in the event the patient loses more hair, and using an abundance of a finite donor source in a concentrated area. Most surgeons will agree that cases exist where extreme dense packing is suitable. But in many patients, lower density hair transplants are appropriate. FUE Megasessions vs. Strip Surgery Most surgeons feel that small sessions of follicular unit extraction (FUE) can be a viable solution for qualified patient candidates. But just as strip surgery has evolved over the years into larger "megasessions", some hair restoration physicians continue to push the envelope with FUE by extracting and planting more follicles in a single session. In a panel discussion on the controversy "Regular" strip vs. "Big" FUE sessions led by Dr. Kolasinski, a few vital issues were discussed. Those who took the "Regular Strip" side of the debate which includes Coalition member Dr. Jerry Wong and Dr. James Harris who is recommended cited a few disadvantages of FUE Megasessions. Unlike with strip whereby a "session" is usually defined by what is accomplished on a single surgery day, an FUE "session" is defined by how many grafts can be removed and planted over several consecutive days. Therefore, a 3200 FUE "session" may sound impressive, but if accomplished over 4 days, the clinic is only averaging 800 follicular units daily. Using the FUE technique, additional forces are placed on the follicle and are removed blindly. Follicle transection therefore, is often higher than with strip, lessening the number of viable hairs for transplanting. Cysts can also form in the donor area and impact the surrounding hairs. Those who took the "Big FUE Sessions" side of the debate cited a few disadvantages of strip. Strip surgery will undoubtedly produce an irreversible linear scar even though it can often be well camouflaged. The danger however, of future scar exposure may occur if a hair loss sufferer loses enough hair to become a level 7 on the norwood scale. No consensus has been reached regarding the viability and maximum hair growth yield when doing FUE megasessions. Therefore, until more proof is provided by physicians regularly performing them to their peers, this controversy will most likely continue. Final Acknowledgements Though attending the ISHRS scientific meeting doesn't guarantee a surgeon is producing excellent results, it appears that most physicians who regularly attend these conferences are dedicated to continually improving their technique and level of patient care. A special thanks to all those physicians who attended the meeting and are working for the best interest of patients. Surgeons who are recommended by this community who attended the meeting include: Dr. Bernardino Arocha Dr. Michael Beehner Dr. Robert M. Bernstein Dr. Tim Carman Dr. Glenn Charles Dr. Jerry Cooley Dr. Robert Dorin Dr. Jeffrey Epstein Dr. Herbert Feinberg Dr. Christopher Gencheff Dr. Edmond Griffin Dr. Robert Haber Dr. Jim Harris Dr. Sheldon S. Kabaker Dr. Sharon Keene Dr. Richard S. Keller Dr. Raymond Konior Dr. Bradley Limmer Dr. Ricardo Mejia Dr. Bernard Nusbaum Dr. William Parsley Dr. Vito Quatela Dr. Bill Rassman Dr. Bill Reed Dr. Paul Rose Dr. Marla Rosenberg Dr. Brandon Ross Dr. Paul Shapiro Dr. Ron Shapiro Dr. Ken Siporin Dr. Martin Tessler Dr. Robert True Dr. James E. Vogel Dr. Arthur Tykocinski Dr. Jean Devroye Dr. Bessam Farjo Dr. Nilofer Farjo Dr. Bijan Feriduni Dr. Melike K??lah?§i Dr. John Gillespie Dr. Thomas Nakatsui Dr. H. Rahal Dr. Jerry Wong If you are a physician recommended by this community and attended the annual ISHRS meeting and don't see your name on the above list, please respond to this thread or contact us at help@hairtransplantnetwork.com and we'll be happy to add your name.
  2. HI THERE! THIS IS MARCC AGAIN SHARING WITH YOU GUYS MY 7TH DAY EXPERIENCE OF HT. WELL HERE I AM ALMOST RECOVERED FROM THE SWELLING AROUND MY EYES. ON MY 3RD AND 4TH DAY I WAS LOOKING LIKE A HARD HIT BOXER WHO HAD A BOXING MATCH WITH MIKE THYSSON (AS DR. FERIDUNI PUT IT.)BUT I AM GLAD TO SEE THAT THOSE SWELLINGS ARE GONE. THE STITCHES BEHIND MY HEAD DID GIVE SOME ITCHING SENSATION BUT NEVERTHELESS THEY WERE NOT PAINFUL.OFCOURSE YOU GOT TO WATCH OUT WHEN SLEEPING, SINCE THE FIRST WEEK CARE OF GRAFTS IS VERY IMPORTANT. THE GRAFTS LOOK GOOD AND DRYING OUT AS WELL .I AM GLAD TO HAVE ENTERED IN THE 2ND WEEK WHICH IS MORE RELAXING AND I FEEL LIKE GOING BACK TO NORMAL AGAIN. I SHALL BE POSTING MY NEXT PICS VERY SOON. TILL THEN TAKE CARE EVERY ONE. MARCC.
  3. Arrie, Are you referring to Dr. Feriduni from Belguim? I agree that he is also doing some first-rate work. Best wishes, Bill
  4. Dr. Feller and Spex, I typically try to stay off of these types of threads however, if I feel a clinic has been unfairly represented, especially by another cilnic, I am going to call them on it. As the moderator AND Associate Publisher of this community, I have the right to post as I choose and call out what I feel is unfair and misleading. Just as I've lifted the rule to allow clinics to freely post on "which doctor is best" or "looking for a doctor" type threads, I am well within my rights to state my observations even if it's not highly popular. Spex thinks me calling him out is inappropriate? I feel his post on this thread is inappropriate. The beauty of our open discussion forum is that we have given the right for all to share their opinions, this especially includes the publishers of this community. Of course, we could always reconsider enforcing strict rules about clinical involvement like other forums. In this case, Spex enforced a dogma that he may have personally created some time ago that one must fly to North America to receive a hair transplant from one of the "great" surgeons. This may be innocently presented as his opinion however, since he often specifically targets UK patients to fly to North America, his opinion can and has been seen as promotional rather than strictly factual. Though we agree that most of the great names are in North America such as those and others Spex mentioned, Pat personally visited with a number of European clinics and found them to be on par with leading clinics in North America. Pat and I feel that Spex often ignores this evidence and dismisses our findings when he promotes this false dogma. We also feel that he is sometimes too aggressive as recently seen in his recent correspondence with Fallenstar on another thread. There is no question that the surgeons he mentioned as "great" are indeed some of the big name leading physicians in the field. However, there is plenty of evidence online that some of the "great" names in the field are from Europe which includes the Farjos, Dr. Feriduni, Dr. DeVroye, etc. I've told Spex countless times privately and publicly that he is better off sticking to promoting your clinic and answering general hair loss and hair transplant related questions. However, he has chosen to ignore my advice. As soon as a clinical representative starts offering their personal opinions about another clinic, there is a tendency for controversy. Had Spex not mentioned any physicians and stuck with general advice about research, I wouldn't have gotten on his case. Spex is a profilic poster and for the most part, highly respected. It is easy for members and guests of this community to confuse opinion with fact. Spex maybe in fact sharing his opinion that the Farjo clinic is not one of the regular "great names" in his eyes however, in my opinion, this is inappropriate since he is targeting prospective patients in the UK. Regarding online visibility and consistency in results, we appear to be on the same page. I didn't mean to suggest that online visibility alone makes for a great clinic. My point is that some clinics have only just started sharing their quality work online while others have been taking advantage of this opportunity for years. The work of Hasson and Wong (as per your example) and their quality work is highly visible online and has been for years. Nowhere did I mention frequency of posts however, clinics regularly using share results on the internet are going to be in the front line and their name on the tip of member's fingertips. I hope that we can put this matter to rest however, I'd really prefer if Spex would stick to promoting your work by presenting photos and answering general questions. I've left this up to him however, if I feel he is promoting information that disagrees with our findings as full time Publishers of this community, I will be reminding him and our community of this. Best wishes, Bill
  5. Tubs, You are forgetting one very important point in your argument: Spex is a clinical representative, not a patient poster. Spex also markets prospective patients in the UK. Making dogmatic claims that the only "great" surgeons are in North America is misleading and unfair to leading "great" surgeons of the Coalition we've personally evaluated in Europe such as the Farjo Clinic, Dr. Feriduni, and Dr. Devroye. In my opinion, he needed to be called out. I understand that patients are only able to evaluate what they see publicly online. I take absolutely nothing away from clinics who have actively participated in the forums for years. I'm simply stating that there are clinics that do great work that aren't as active online. This is why I reminded everyone above that this will soon be changing and more surgeons will be sharing their results online. Best wishes, Bill
  6. Spex, I notice that you mentioned the Farjo clinic but didn't include them amongst the "great names". Could it be because you are competing with them for prospective patients from the UK? Or are you basing your idea of "great" solely on online visibility? There are other great names in Europe as well that in my opinion, don't get enough of the online accolades. Dr. Feriduni and Dr. Devroye are two elite physician members of the Coalition that are seldomly recognized. But from what I've seen of their work and from Pat's visits to leading hair transplant clinics, it's on par with the "great names" in North America. All of this will change soon as other surgeons and clinics get more involved online. Very soon there will a great multitude of results displayed on this forum by clinics we recommend. Those who believe that only 5 or 6 surgeons do great work will see that there are other great choices out there. Stuart_J, I agree with Spex and others that research is key in selecting a first-rate surgeon. And although asking for advice from members of a forum is a great way to start your research, you must go beyond people's opinions and sift through evidence online and offline to make a decision. See How Do I Select a Quality Hair Transplant Surgeon for tips in beginning your research. In the UK, I would suggest researching and consulting with Drs. Bessam and Nilofer Farjo. In LA specifically, I would suggest consulting with and considering Dr. Reed, Dr. Carman, Dr. Siporin, and Dr. Meshkin. To see a list of all the doctors we recommend, click here. To see our physician recommendation standards, click here. Best wishes, Bill
  7. DEAR MEMBERS, I AM A NEW MEMBER OF THIS FORUM AND HERE ARE SOME INFORMATIONS PERTAINING TO MY HT. OPERATION DAY: 21 AUGUST 2008 NAME OF SURGEONR. BIJAN FERIDUNI HAIR DENSITY: DONOR AREA 85 FU/CM2 PERFORMED TREATMENT: FUS , TRICHOCLOS-TECHNIQ WITH TOTAL NO OF 4141 FU (ONE HAIR FU 895,TWO HAIR fu 1871, THREE HAIR FU 735,FOUR HAIR FU 640) OP TIME: START 09 55, END: 1715 PERFORMED DENSITY: HAIRLINE=50-55 FU/CM2 MIDDLE HEAD= 25-30 FU/CM2 CROWN= 40 FU/CM2 MY FIRST DAY EXPERIENCE(OP1 HT) WAS QUITE SATISFACTORY ALTHOUGH IT WAS TIRING BUT I HAD VIRTUALLY NO PAIN. THE STRIPPING FROM THE DONOR AREA WENT VERY SMOOTHLY AND AFTER THE BREAK THE HT STARTED NON STOP UNTIL ABOUT 17.15 HOURS.I MUST SAY THE WHOLE PROCEDURE WENT PEACEFULLY AND I THINK ALL THE CREDIT GOES TO DR.FERIDUNI AND HIS EXPERIENCED STAFF. I SHALL KEEP YOU POSTING... TCHOU FOR NOW. MARCC FROM HOLLAND
  8. Greatguy, Congratulations on your recent hair transplant with a first-rate physician. Dr. Feriduni does first-rate, ultra refined work, and your pictures show it. The best way to present your photos and document your progress is by creating a hair loss weblog. Then you can post a link in your signature to your blog so members and guests can easily find your blog every time you post. For instructions how to do this, click here. Best wishes, Bill
  9. Greatguy, Scalp psoriasis is really not my speciality so I couldn't recommend a good treatment for it. If you are not thrilled with the reviews on Dithranol, you may want to ask Dr. Feriduni for alternatives with fewer side effects. Best wishes, Bill
  10. Peppermint, I thought I'd respond since you mentioned that you weren't familiar with the Coalition. The Coalition of Independent Hair Restoration physicians represents an elite group of surgeons who have been prescreened by our patient community and have proven to meet our high level of membership standards with a high level of consistency. Pat Hennessey has also personally visited with and observed live surgery performed by each of them as well as many others. See Visits to Leading Hair Restoration Clinics. See also How we recommend hair transplant surgeons and our collaborative effort as a patient body. Not all Coalition surgeons perform FUE however, out of the surgeons you listed, the following do: Dr. DeVroye Dr. Feriduni Dr. Kulahci (she's recommended by not a member of the Coalition - see links above) Quite frankly, I haven't seen any of their FUE work presented, only strip. But keep researching and I trust you will select a surgeon who is right for you. Best wishes, Bill
  11. Hey Lads, Firstly, well done on such an excellent and informative forum. You really are performing an essential service for an industry that has little or no transparency for the uninititated!! I have had a phone converstaion with Dr. Keily in Cork Ireland & DHI and was in the process of scheduling an initial assessment. Thanks to this site I have completely reassessed my priorites and will definitely look futher a field for quality work. Sorry to dish the same 'ould questions at ye but starting research on this topic is a bit like getting hit with a tidal wave.. so many pro's and cons for so many different surgeons. Where do I start checking for a quality/proven list of surgeons?? It seems that the US is the place to go. I have read of a DR Feller which is in the US and apparently the UK. Is this person one and the same? There is also a Dr. Feriduni in Belgium. I havent really seen any negative feedback with this guy.. can he be recommended. I realise research is the key but where to start and how to filter so much info is the first hurdle to clear. Preferably I would like to get to a surgeon in Europe.. and more preferably a Ryanair flight away Any help/advice would be greatly appreciated!!
  12. Hi Clive, i had my surgery with Dr.Heitmann in Amsterdam. He is well known in Europe. I am really pleased with him, a consultation is worthy. He was partner of Dr.Feriduni, a coalition member of this board. Good luck and research !
  13. Rapid, Welcome to our community. At this time we do not recommend any ethical hair transplant surgeons who performs state of the art hair transplantation at this time. Dr. Bernstein and Dr. Dorin are both first rate hair transplant physicians. There are a few excellent hair transplant surgeons that are closer to you as well. I recommend using the map feature of our community to find a coalition doctor closest to you. You may want to consider the Farjo Clinic (in the UK), Dr. DeVroye (in Belgium), and Dr. Feriduni (in Belgium). Best wishes, Bill
  14. Pat, Thank you for the endorsment and public support.As Pat has said it is possible to get top class surgery both in the UK and Europe with Dr. Jean Devroye and Dr Bijan Feriiduni.People do have a choice but if they follow similar guidelines the answers should present themselves.ie look about the market place, visit a few different clinics,use the internet as a guide for gathering information,meet and have a consultation with your actual Surgeon and be given the opportunity to meet patients to see results first hand.In my opinion HTN is without doubt the best site on the web for hair loss sufferers and we will continue to share our work and other projects we are involved in. Mick Bill,i appreciate your comments and look forward to many more in the coming years.
  15. Hey, my ht was done by Dr.Heitmann in netherlands. He was partner of Dr.Feriduni. So look at him, too. I am really pleased with my ht so far. If u want to travel over the sea u should do a consultation with Dr.Rahal. He is one of the top surgeons and his prices are low. Good luck
  16. Though I certainly would never discredit our U.S. and Canadian elite physicians, with Dr. Feriduni practically in his backyard (at least compared to US and Canada), I see no reason to advise him to travel all the way across the globe. Click here to see the highlights of Pat's (the Publisher of our Community) visit to his clinic. Best wishes, Bill
  17. MikeTheDane, Though we don't currently recommend any quality hair restoration clinics directly in Scandinavia, further south we have a number of reputable hair restoration clinics that perform solid follicular unit transplantation. I believe the closest hair restoration physicians to you are: Dr. Feriduni is one of our Coalition physicians who performs ultra refined follicular unit transplantation Dr. K??lah?§i is also recommended on our network and performs quality follicular unit transplantation as well. I hope this helps. Bill
  18. guyfromsydney, Welcome to our community. Without pictures it is difficult to help you. But for now, I would forget about trying to come up with a minimum or maximum number of grafts needed at the moment and focus on your hair restoration goals. Shock loss only occurs when hair is transplanted between existing native hairs. It is the native hairs in danger of being "shocked". Learn more about shock loss. As giants said, posting pictures would definitely help us get a better understanding of your hair loss situation. Being in Australia, you might want to consider consulting with Dr. Martinick, who is one of our recommended physicians. Or if you are willing to travel to meet with one of our coalition physicians, the closest ones to you I believe are Dr. Hasson and Dr. Wong of Hasson and Wong - or the other direction, Dr. Feriduni. I hope this helps get you started. Best wishes, Bill
  19. Hawk, Everyone has given you some good advice. If you don't want to travel to meet with one of our coalition physicians, Dr. Jennifer Martinick is one our recommended physicians in Australia and performs quality follicular unit transplantation. Understand the difference between our coalition physicians and recommended physicians by clicking here. Personally, I feel that our coalition doctors are the best of the best as they perform ultra refined follicular unit transplantation. If you don't mind traveling, I believe the closest coalition physicians to you are Dr. Hasson and Dr. Wong. In the event that Europe is closer, you may want to consider consulting with Dr. Feriduni or Dr. Devroye. I hope this helps. Best wishes, Bill
  20. hrvoje14, Welcome to our community. In addition to the elite physicians you mentioned, we do have some outstanding physicians in Europe worth at least a consultation. I would definately consult with Dr. Jean Devroye and Dr. Bijan Feriduni who both perform quality ultra refined follicular unit transplantation. You can read the highlights of Pat's visitations to these European clinics here. Best Wishes, Bill
  21. Pat, Thank you for the update and congratulations to Dr. Feriduni! I hope his clinic will become actively involved in our community and share with us highlights of his work. I look forward to his involvement with us. Bill
  22. This past May of 2007 I traveled to Europe to verify which hair restoration physicians and clinics are doing ultra refined hair transplantation on pare with the leading clinics in North America. I was very pleased to identify three such clinics, which in my opinion are doing truly world-class ultra refined follicular unit hair transplantation. Based on seeing their surgeries, patient results and patient feedback I think these three clinics should be given serious consideration by this community for membership in the Coalition of Independent Hair Restoration Physicians . The physicians/clinics that I propose we grant membership in the Coalition to are - Dr. Jean DeVroye ??“ Brussels, Belgium Dr. Bijan Feriduni ??“ Hasselt, Belgium Drs. Bessam and Nilofer Farjo of the Farjo Medical Centre in Manchester, England I encourage the members of this community to read the below information about these physicians and follow the links to their posted photo albums, websites and other information. I encourage members to add their input and opinions by posting replies to this topic. Coalition Candidate Highlights: Dr. Jean DeVroye 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. Now 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 anywhere. Dr. DeVroye has been recommended on the Hair Transplant Network (see his profile/recommendation ) for the past few years. But after seeing the level of he and his staff's work I think he should be invited to join the Coalition of Independent Hair Restoration Physicians. Frankly, I think he has really earned a place amongst the best of the best. To view the highlights from my visit to his clinic, click here . Dr. DeVroye's website also provides a wealth of great information in multiple languages, including immediate post op photos and examples of his trichophytic closure. Dr. Bijan Ferduni 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 and some reaching 3,000 grafts over two day sessions. His strip excision cases now on average exceed 2,500 follicular unit grafts. 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 Dr. Feriduni's clinic, during which I observed both an FUE surgery and a strip excision surgery, click here. Dr. Feriduni also sent me some of his impressive patient result photos for consideration by this community. These photos can be viewed by clicking here . You can also learn more about him, his techniques and patient results by visiting his clinic's website. Drs. Bessam and Nilofer Farjo of 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 during May of 2007, 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. Nilofer is very hands on and does the critical slivering (sectioning of the donor strip into thin "slivers" that are then divided by the technicians into individual follicular unit grafts). She also does most of the primary training and supervising of the medical technicians using the video screen. 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 harmoniously 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. Drs. Bessam and Nilofer Farjo were involved in the early studies/evaluations of the trichophytic closure technique. To minimize any potential scarring/stretching in the donor area they prefer to remove long but narrow donor strips. I was particularly impressed by the collaboration of the husband and wife team of Dr. Bessam and Nilofer Farjo. For the patient of the day, it's like getting two very experienced hair transplant surgeons rather than one. There teaching credits at hair restoration meetings and workshop worldwide are very impressive as are their credentials. 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. I think they have earned the right to take their place in the Coalition along with their North American colleagues. They have been recommended on the Hair Transplant Network for a number of years. To read their current recommendation/profiles click on their names. Dr. Bessam Farjo Dr. Nilofer Farjo To view highlights from my observation of two patients over two days, click here. I also had an opportunity to see some of their impressive patient results in person. To learn more about the Farjos, their techniques and patient results visit their . website
  23. I appreciate everyones input. Given Dr. Feriduni's state of the art ultra refined procedure and top notch staff and results, he has been granted membership in the Coalition of Independent Hair Restoration Physicians . To learn more about Dr.Feriduni and view his impressive ultra refined patient results visit his Coalition profile .
  24. I appreciate everyone's input regarding the potential Coalition membership of the above mentioned leading physicians. At this time I would like to announce our first Coalition of Independent Hair Restoration Physician member in Europe - Dr. Jean DeVroye . He has worked hard over the past ten years to build a world class hair restoration clinic and his success in doing so was very evident during my recent visit. I expect he and his staff will provide excellent service and results to all find him on this community. The potential Coalition membership for Drs. Farjo and Dr. Feriduni are still pending.
  25. Pat, from your visit and what you have witnessed of Dr. DeVroye, I would support his inclusion into the Coalition. I do not recall hearing any negative feedback here or elsewhere in the past few years. I am nuetral/wanting to see more work at this time on Dr. Feriduni. I am still waiting to see more work from the Farjo clinic in addition to seeing work grow in from other patients who have posted results elsewhere. I think we have all seen and heard many reports of poor work at the hands of clinics across the pond. It is vitally important that if we add doctors to our Coalition, that they continually produce consistant results. With that said, I am EXTREMELY happy that you were able to identify clinics that are embracing the techniques employed by the best clinics in the world. It makes me feel good that you were able to visualize the practices of these three clinics and follow up with a very good report. I am hopeful that you can contact Dr. Bisanga because I feel his work is on par with the clinics you have recommended for the Coalition as well. Thanks Again Pat!!!! J
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