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My Story

  1. I've been using this forum a ton over the past months to plan out who would work best as a surgeon for my procedure. I wanted to pay it forward and provide updates with my experience with Dr. Wesley, especially because (while he seems to be highly regarded) there don't seem to be a ton of member-created reviews, progress pictures, patient experiences, etc. for him. So I figured I'd add mine. I'm a 31 year old male who first started noticing my hair thinning probably just about a decade ago. I went on finasteride in 2012, and have been using it on and off since (no real sides, I just did a bad job meeting with my primary care physician to re-up my prescription when it ran out, and as a result, had a few periods of maybe 9 months or so when I wasn't on it. I was off it for a decent amount of 2020, but just got back on again just over two months ago in May '21. I' also used topical minoxidil and dermapen some in the past year or two, but wasn't terribly consistent with it (probably not enough or for long enough to see results). I'm now approximately a NW 3. I had an extremely stressful psychological event happen in mid March of this year, and a month or so after, I started noticing an increased amount of hair shedding out in showers. I have very long hair for a guy (pictures below) so the shedding was very obvious, and that's what caused me to get back on Fin asap. Since then (especially since June) my hair has been shedding at an alarming rate (maybe 200 hairs per day), and seems to be shedding from the back and sides of the head rather than just the area affected by MPB. This has led me to believe that I may have telogen effluvium as well. Unfortunately I had already scheduled and put down a $5000 deposit with Dr. Wesley before I realized this was likely the case, but I discussed things with him and he seems assured that if I have TE, it won't result in a worse transplant result. I did a consult with another surgeon (located in Ft. Lauderdale, FL) previously before finding this forum, but once I saw more reviews and the surgeons that have been vetted by this community, I decided Wesley was likely my man. The main factors in this decision were his excellent reputation on this board, the many, many quality and natural looking results he posts regularly, and (importantly) the fact that he was taught to do hair transplants without shaving the recipient area. I like my hair long; it took me two and half years to get it to this length, so having to shave it would likely be a deal-breaker. I went FUT because I could just shave and remove the strip from the back and the long hair back there will hide the sutures/scar. I did an in-person consult with Dr. Wesley about a month ago and came away impressed; he seems to know his stuff and is very friendly. I arrived at 10:30 AM this morning having spent the night in NYC the night before (I'm from out of town). When I arrived, we did a brief recap of the plan for the hairline that we had laid out during the initial consult, and made a few very minor tweaks. I was given Valium and Vicodin, changed into scrub-type gear, and then was off to the races. My donor strip was shaved first and then removed, as well as the implantation slits created, which took a few hours. The combination of Valium and Vicodin made me extremely drowsy, and so I was in and out of consciousness for the entirety of the procedure, but I felt just about 0 pain (just the initial pin prick feelings to numb the scalp). When I awoke, I took a bathroom break and then the technicians began implanting the grafts. This took a few hours again, and I again dozed for much of the procedure. Approximately 2200 grafts were implanted; I'm hoping to get the exact number and follicle breakdown tomorrow. When they were finished, I took a quick few immediate post-op photos, and then my head was wrapped in a bandage. I'll be returning tomorrow morning to have the hair areas cleaned and to receive final post-op instructions. Below are a variety of photos I've taken over the last 3 months to try to get a good sense for the current state of my hair. Some of them are in harsh lighting with the hair clean, some are in complementary lighting with the hair dirty, some wet in harsh lighting, etc. I also tried to include as many angles as I could so I have as many reference points as possible to compare to in the future. I'm definitely going to be continuing on Fin (more rigorously now) and will likely also add oral Minoxidil into my stack as well, assuming it doesn't produce side effects as I introduce it gradually. Really worried about shock loss of the pre-existing hair and hope that's kept to an absolute minimum, because if you lose a 2-inch hair to shock loss, it's not that big a deal; it will regrow and be the same length in just a few months. Losing hair that's my length is way more of a gut punch because it will literally take 2 years or so for it to regain that length, so for that reason I'm hoping to be fortunate and only experience a little. Thanks to everyone who's shared so many experiences and so much information on this forum; it really helped me to make a decision. I'll be updating this thread fairly regularly (and hopefully wont be obsessively checking myself every day and/or freaking out when I hit the ugly duckling phase).
  2. #BeforeAndAfterMondays This 34-year-old man underwent a follicular unit transplantation (FUT) session with Dr. Carlos K. Wesley in which a total of 2717 grafts were placed. Aspects of our surgical approach can be viewed on our site’s Most Common Questions page. Three elements combined to help improve his experience: graft harvest, graft storage, and patient safety. Rather than a larger FUE punch used by a robotic approach, Dr. Wesley used a smaller caliber hand-held motorized punch to performed the donor harvest. This approach better enabled the capture of donor intact hair roots that are slightly curved beneath the skin surface. Upon completion of the harvest, the patient’s donor area was treated with PRP and ACell in order to not only minimize scar tissue formation, but also encourage partial regeneration of donor hair follicles. Graft storage was optimized as hair follicles were incubated in autologous (his own) platelet rich plasma (PRP) throughout the duration of the procedure. This, combined with an ATP-containing storage solution has been shown to enhance survival of transplanted hairs. Finally, having his procedure performed in our office with the highest standards of COVID precautions helped ensure patient safety. Every patient of Dr. Wesley’s receives a rapid COVID test upon arrival to our office equipped with an ultraviolet air purification system. Measures such as reducing foot traffic by performing virtual consultations at no charge to patients, regular staff COVID testing and no-touch temperature checks of our team that avoids public transportation help preserve our clean and sanitary safe haven. Daily sterilization of the office coupled with the most rigid OR safety precautions further allay patient concerns in this sensitive time. The patient returned one year after his procedure and images of the patient can be seen below. This link illustrates the timing of hair growth after surgery. Similar patient hair transformations with Dr. Wesley and his team may also be viewed.
  3. #BeforeAndAfterMondays This 39-year-old man underwent a follicular unit transplantation (FUT) session with Dr. Carlos K. Wesley in which a total of 2355 grafts were placed. Aspects of our surgical approach can be viewed on our site’s Most Common Questions page. Three elements combined to help improve his experience: graft harvest, graft storage, and patient safety. Rather than a larger FUE punch used by a robotic approach, Dr. Wesley used a smaller caliber hand-held motorized punch to performed the donor harvest. This approach better enabled the capture of donor intact hair roots that are slightly curved beneath the skin surface. Upon completion of the harvest, the patient’s donor area was treated with PRP and ACell in order to not only minimize scar tissue formation, but also encourage partial regeneration of donor hair follicles. Graft storage was optimized as hair follicles were incubated in autologous (his own) platelet rich plasma (PRP) throughout the duration of the procedure. This, combined with an ATP-containing storage solution has been shown to enhance survival of transplanted hairs. Finally, having his procedure performed in our office with the highest standards of COVID precautions helped ensure patient safety. Every patient of Dr. Wesley’s receives a rapid COVID test upon arrival to our office equipped with an ultraviolet air purification system. Measures such as reducing foot traffic by performing virtual consultations at no charge to patients, regular staff COVID testing and no-touch temperature checks of our team that avoids public transportation help preserve our clean and sanitary safe haven. Daily sterilization of the office coupled with the most rigid OR safety precautions further allay patient concerns in this sensitive time. The patient returned one year after his procedure and images of the patient can be seen below. This link illustrates the timing of hair growth after surgery. Similar patient hair transformations with Dr. Wesley and his team may also be viewed.
  4. Hey guys. I am looking for good doctor in Chicagoland Area. I had a consultation today at International Hair Transplant. Dr Carlos Puig has several law suits and is not a part of this group. I was told that I need 2500 units and it would cost $11,250 with FUE method. What do you guys know about Dr. Carlos Puig? Who should I see next?
  5. I'm 31 years old and have been worried about my hair since 2011. Specifically, my receding hairline. I began taking pictures and eventually got on finasteride in August 2015, and minoxidil foam in September 2016. Choosing a Doctor I feel that I could've spent forever on this step and still not have been confident in my choice. I looked at tons of patient results form tons of doctors, read all the comments, etc. In the end, I wanted a reputable doctor, and ideally someone I didn't have to fly to. I was also pretty set on getting an FUE over FUT. Well, as luck has it, there are some reputable doctors in NYC, which is just an hour from me without traffic, that perform FUE procedures. I only had two consultations; one with Dr. Dorin in-person, one with Dr. Wesley virtually. Dr. Dorin was first. He was honest with me, which I appreciated. As in, he didn't promise unrealistic expectations. He said that with one procedure, it would likely still lack the density that one desires. Apparently many of his patients opt to come in for a second procedure (or more) to add that. It seems that Dr. Dorin does lean conservative with his graft counts compared to others. In some of the example pictures I'd seen from him, the hairlines were wildly curvy. While the one he drew on me also had intentional imperfections, it was a lot more subtle than some of the others I had seen from him. In the end, he estimated 1,200 grafts for me, and claimed that I'd pretty much need an FUE procedure due to my hair characteristics. It cost $175 which could be used toward the procedure. Dr. Wesley was next. This was a virtual consultation with a dated webcam, so of course it wasn't ideal circumstances. But there's a reason for that, and it's that an in-person consultation with him was $400. Granted this could also be used toward the procedure, but I just thought this was too much. For whatever reason, virtual was free, so I went with that. And it went alright. Viewing my webcam, he estimated 1,600 - 1,800 grafts. I did like the idea of potential higher density than the comparatively low estimate of 1,200 from Dr. Dorin. Prior to this, we had actually communicated briefly by email where he estimated 2,000. But there were a few things that turned me off. In contrast to Dr. Dorin, it felt like he was trying to promise me the world. He really talked himself up, mentioning that I wouldn't believe how many celebrities he's worked on, that his practice is the best in the business, etc. Whether or not that's all true, it rubbed me the wrong way. I also didn't like that he noticeably looked down on the fact that I chose to do a virtual consultation instead of in-person, citing that it wasn't a big deal since the $400 could be used toward the procedure. And it felt to me that he really wanted to end the call quickly. And he mentioned holistic medicine which is kind of a trigger word for me. There were others I considered, but they either were too logistically inconvenient, or too unknown, or only seemed to dabble in FUE. What made me end up going with Dr. Dorin was his honesty, reputation, experience, and lower price (although still prohibitively expensive. It's NYC). I'd be lying if I said I didn't want to throw away the initial $175 I had spend on the consultation. I know that's a terrible thing to let impact this decision. My worries with Dr. Dorin: will I be satisfied with the density after one procedure? Is his signature hairline going to end up looking more realistic in the end? The Procedure For better or worse, I ended up going with Dr. Dorin. I managed to get an appointment which was around 2 months out, for September 3rd 2021. After a lot of questions back and forth, to which Peter was quick to respond, the day finally came. My friend drove me early in the morning, and I went in at 7:15 for my 7:30 appointment. There was some waiting involved throughout the day, but kind of your typical doctor experience. I met a nurse first who gave me an orientation. Later on, Dr. Dorin arrived and came in to draw out the planned hairline again, trying to be close to the original consultation. Again, I kind of liked it and trusted that the unevenness would end up looking more natural. I tried to nitpick since it was my last chance, to make sure it wasn't lopsided. He called me on my criticalness and said if I was worried about such miniscule details then I may not end up being happy with a transplant in general, as there will always be imperfections. He did alter it ever so slightly and agreed that if I was going to say something, now would be the time. He measured it and looked at it from a few angles, including in a mirror over his shoulder. I basically went with what he had originally drew out, and Peter took some pictures. Hopefully that was the right move. Then Rita came in and gave me some valium and anesthetized the whole back and sides of my head. This was the most painful part, but tolerable, and she was great. I believe the harvesting stared around 10am, when Dr. Dorin and Catherine came in the room. I pretty much couldn't feel a thing after all the anesthesia, so that wasn't bad. But having to wear a mask for most of it was a bit uncomfortable, as well as some of the positions, mostly face down and on my side. Only way I knew it was happening was that I could hear the whirr of whatever the gadget he was using was, and the force it pushing into my head. But no pain. When I started to feel it, I said something and he applied more anesthesia. The harvesting was done with some breaks. A little over 600 the first time. Then a little over 600 again. As he was finishing with the second part, he said it looked like he could get some more if needed, but we would wait to hear the final tally. The final tally was over 1,300, over 100 more than the estimate. But I told him to use his judgment and feel free to take more if he felt it would improve my results. I was hoping that he would since I had been concerned all along that 1,200 was too low. He did take more. Final Tally = 386 Single / 915 Double / 126 Triple / 1,427 total I was happy that the number grew, although I also new it meant I would have to pay for each of those additional grafts. Quite a bit of money. Nonetheless, this step was done. I had my lunch, which I brought, and then it was onto the next step. Rita came back to numb the hairline. Again, a bit painful but tolerable. Dr. Dorin came in again with Catherine to make 1,427 incisions. Counting to 100 over and over. Again, I felt nothing, just heard the sound of my flesh being stabbed. Or I assume that's what the sound was. This was actually the quickest part, maybe an hour. The implantations into these incisions was done by a few people, but not Dr. Dorin. I believe it was Catherine, Kim, and Alex. I was upright and kind of watching Netflix on the TV for this part, but also nearly falling asleep. Because again I felt nothing and it took a while. It seemed that Dr. Dorin rarely came in to check on their progress, although I can't say for sure. And with that, it was over. Finished around 5pm. I went to the bathroom, looked at myself in the mirror, and got really depressed. My hairline, the density, even the way they trimmed down my hair. I thought I had made a mistake. But I had to go and have Peter take some more pictures. He said it looked really clean and I'd heal fast. Dr. Dorin saw the final results for the first time and said it looks great. Still, I felt really depressed in this moment while I waited for my friend to arrive and drive me home. I was given a baseball cap to wear out, and didn't want to be seen by anyone. I just wanted to be home. Afterward and Current After I got home, I looked at it some more, took some pictures, and I regained some optimism. That's where I am now. Still unsure if I made a mistake. Still hoping it will, at the very least, look a lot better than it did before the procedure, but hoping for incredible results. I've been spraying it every hour with some ATP solution they gave me, as directed. I slept the first night elevated in my reclining couch with an airplane pillow. I was given some gauze cover which I laid on top of my airplane pillow. Good thing, because whenever I woke up, the back of my head was wet with sweat or oozing blood or both. Probably both since it was quite wet but light red. And that's what I will continue for the next few nights. Tonight I'm supposed to dip a sponge in a shampoo/water mixture and lightly pat it over my head.
  6. Hello everyone, After thinking about it for two years, and having done an extensive research, 17 days ago I finally took action and had my hair transplant. I’m 25 years old , and just like for everyone else here I guess, hair fall has been one of the biggest obstacles I have stumbled upon so far. I still remember that “turning point” moment 3 years ago when I found out that I was losing hair, and that it was a genetic trait just like skin color. My grandfather was a NW7 when he passed away aged 67, so you can imagine my sadness when I found out that my very prized hair could potentially gradually vanish in the course of the next 15-20 years. I tried minoxidil for 6-7 months in 2018-19 with no success (I actually think it made my hair status worse), and finasteride is simply a risk ( though small, according to studies) that I’m not willing to take. So, after having seen I was left with no options, I told myself that I would had a HT once I was 25 (Recommended age to do it). When I started my research, I was shocked with a huge number of clinics and surgeons worldwide, and I noticed a good portion of them were from Turkey. As a student with a student budget, put my focus on just on these clinics; however, the more a learned about HTs, the more I realized the risks of trusting my head to unexperienced techs. I discovered then Dr. Biçer, and I was immediately attracted by many points: good and natural results (this and german and italian forums), one patient treated per day, qualified team of nurses that work with her for many years already, and her professionalism and etic. I did then the consultation with her and she estimated that 2750-2950 grafts would be enough to cover my temples and hairline. After being convinced, I booked the surgery for the 16th of June. I was at every moment in contact with her assistant Özen, who was always available and willing to answer all my questions. The operation itself went smooth, and the whole office and surgery room is basically yours for the whole day (very clean and nice place). It all in all lasted around 9- 10 hours, and all I have to say about the procedure is that it was flawless; the grafts angles and treatment of the donor area was also fantastic. I know that without fin I will most likely need another procedure in the future (as long as I still want to have hair on my head), but for the moment, I’m confident that I will be happy with the results. Juan Carlos. (The pics attached are before the op, after the op, and 12 days after with the scabs off)
  7. Fantastic looking work. @Office of Dr. Wesley I just have one question though- This patient appears to be Norwood 6 with relatively thin lateraly humps. Do humps that thin typically hang on for a very long time or is there more of a good chance they will go and he will need another surgery? Thanks.
  8. This 42-year-old man underwent a follicular unit transplantation (FUT) session with Dr. Carlos K. Wesley in which a total of 2201 grafts were placed. Aspects of our surgical approach can be viewed on our site’s Most Common Questions page. Three unique elements combined to help improve his experience: no-shave requirement for optimal discretion, enhanced graft storage measures, and rigid patient safety standards. As with all of Dr. Wesley’s patients, he was NOT required to cut his hair for the procedure. As a result, this patient was able to return comfortably to work and social activities within approximately 7-10 days of his procedure. The patient’s hair follicles were incubated in platelet rich plasma (PRP) throughout the duration of the procedure. This, combined with an ATP-containing storage solution has been shown to enhance survival of transplanted hairs. Finally, having his procedure performed in our office with the highest standards of COVID precautions helped ensure patient safety. Every patient of Dr. Wesley’s receives a rapid COVID test upon arrival to our office equipped with an ultraviolet air purification system. Measures such as reducing foot traffic by performing virtual consultations at no charge to patients, regular staff COVID testing and no-touch temperature checks of our team that avoids public transportation help preserve our clean and sanitary safe haven. Daily sterilization of the office coupled with the most rigid OR safety precautions further allay patient concerns in this sensitive time. The patient returned two years after his procedure and images of the patient can be seen below. This link illustrates the timing of hair growth after surgery. Similar patient hair transformations with Dr. Wesley and his team may also be viewed.
  9. Thanks @JDEE0, you seem to be right about Medecap. Have shortlisted those so far clinics in Malaga: BHR, Medecap, plus Instituto Medico Capilar with Dr. Carlos Fajardo. Will ask at recuperartupelo.com, that's a very good idea.
  10. #BeforeAndAfterMondays This 33-year-old man underwent follicular unit transplantation (FUT) session with Dr. Carlos K. Wesley in which a total of 2324 grafts were placed. Aspects of our surgical approach can be viewed on our site’s Most Common Questions page. Three unique elements combined to help improve his experience: no-shave requirement for optimal discretion, enhanced graft storage measures, and rigid patient safety standards. As with all of Dr. Wesley’s patients, he was NOT required to cut his hair for the procedure. As a result, this patient was able to return comfortably to work and social activities within approximately 7-10 days of his procedure. The patient’s hair follicles were incubated in platelet rich plasma (PRP) throughout the duration of the procedure. This, combined with an ATP-containing storage solution has been shown to enhance survival of transplanted hairs. Finally, having his procedure performed in our office with the highest standards of COVID precautions helped ensure patient safety. Every patient of Dr. Wesley’s receives a rapid COVID test upon arrival to our office equipped with an ultraviolet air purification system. Measures such as reducing foot traffic by performing virtual consultations at no charge to patients, regular staff COVID testing and no-touch temperature checks of our team that avoids public transportation help preserve our clean and sanitary safe haven. Daily sterilization of the office coupled with the most rigid OR safety precautions further allay patient concerns in this sensitive time. The patient returned four years after his procedure and images of the patient can be seen below. This link illustrates the timing of hair growth after surgery. Similar patient hair transformations with Dr. Wesley and his team may also be viewed.
  11. Hi there. First time posting, so let me just say that this is such an awesome community. I have learned a lot on this site over the years, so thank you to all of you who answer questions to those of us trying to make an important decision. I live in NYC and have been thinking about a HT for the past 3-4 years. Over that time, I had consultations with 3 doctors near me (Drs. Wesley, Dorin, and Bernstein). I also had a remote consultation with Dr. Rahal in Canada. I am 46 years old and Norwood 3 and am really focused on trying to restore my hairline and get density in the front and top of my head. It's a balance of having my hairline back, but also wanting it to look natural and appropriate for my age. Here is my take on them and would love to know if others agree/disagree with my assessments and if there are other doctors I should also consider: Dr. Bernstein. Nice guy. Met him 3 years ago. Recommended 1500-2000 grafts and to mostly fill in the front hairline and said that if needed, I could do another procedure down the line. The pictures I saw of his hairlines didn't look very natural to me. They looked like they were almost a straight line, like they were drawn with a ruler, and seemed to lack the single hairs that one would expect in the front. On his website, he now has pictures that show better, more natural hairlines. Maybe he has gotten better? Dr. Wesley. Met him in late 2019 right before the pandemic. He was also recommending a similar number of grafts. I liked him a lot, and I thought his hairlines were better than Bernstein's. Some were excellent. But he was pushing FUT and I sometimes wear my hair short. Dr. Dorin. Also met him in 2019. I didn't like his work. Dr. Rahal. I first spoke to his office in 2020 right before the pandemic. It was less personalized service than the other doctors and was really hard to speak with him. In fairness, I don't happen to live in Canada whereas I am local to the other doctors. Maybe if I lived near Dr. Rahal, my experience would be different. Maybe they get a lot of not-so-serious people and so they are careful on having Dr. Rahal speak to everyone? Anyway, I sent photos and talked to the patient coordinator. She sent me his recommendations. I had to ask a few times if I could speak with him, and I eventually did, but it was almost like I had to really convince them that I needed to speak with this person who might be performing a surgical procedure on me. He recommended 2500 grafts which he said would give me a hairline as well as density. He said I might need another procedure down the line if I had more thinning on top or in the crown area. I initially reached out to Dr. Rahal based on positive reviews here and pictures I had seen of his hairlines (which were really amazing). But the reviews are mostly older threads from a few years back. I know others have posted about this recently (why no new Rahal posts?) and some have pointed out a couple of newer threads where people sing Rahal's praises, but I am concerned there aren't more Rahal patients posting here. My thoughts / questions: 1. Of the group above, who would you say is the one who has better results? The best track record / reputation for great results? 2. Is my experience with Dr. Rahal indicative of how it would be if I were a patient? Is it going to be pretty impersonal across the board? Will I just see him for 5 minutes and then techs will do everything? 3. Since I am willing to travel, are there other doctors I should consider who are outside of my geographic area (but still in North America)? Basically, who else should I consult with? Hasson? Baubac? Konior? Shapriro? Parsa Mohebi? Are there others who are really amazing that I haven't spoken with? Who is on top of their game right now, especially when it comes to hairlines? Thanks so much for your advice. It is greatly appreciated.
  12. Hello, I just had my first HT procedure done with Dr. Wesley in NYC on 7/26/21 and wanted to share my photos and experience here for others who are curious. I am also curious to receive feedback and see what people think of my result. I am currently a 26 yo male who is about NW3 - 3.5, and have been on Dutasteride for about 1.5 years. Dut has dramatically brought my hair back and maintained it since taking it, and I plan on keeping on it for as long as I can manage. I am not on anything else right now, however i do plan on starting oral minoxidil in the coming days and seeing how that works on me. Basically i have been wanting to do a HT for well over a year now, but its been tough with COVID travel and all. Finally was able to find an opening with Dr Wesley in July and pulled the trigger. Very happy I did. I think he is a really great guy and all his staff were super nice. The procedure itself was super smooth and my only major regret is falling asleep during the entire procedure. I wish i was awake so i could have spoken to them more, but my jet lag and all was kicking in too hard. Basically woke up and it was all done. Was super happy to hear we got 2750 grafts as I was hoping for a big number. I am currently on day 3 post op and feel fine, although my scalp is super itchy and that is very frustrating. There is a lot of post-op care so just hunkering down and taking care of that. Other than that, i think it all seems good. Scar does not hurt, and I am very happy with the design of the hairline and all. Basically i got grafts into a new hairline, my temple areas, midscalp and also a bit in the crown. Going to attach pics here, so please let me know what you guys think of the work. I will probably post some additional photos as time goes on, but am trying not to be too obsessive. This is gonna be a long ride.
  13. This doctor is absolutely fantastic. I had been losing hair since 17 and had a couple thousand grafts at 21. Dr Wesley was incredible. He mapped out exactly how to make the best out of my transplant to make the hair look natural and full. I hear a lot of horror stories about surgeries getting botched and hair growing in crooked and so on, but now I have a full, healthy head and no one could even tell that I ha surgery! I'm so happy with it and the doctor was really amazing. He made me feel so comfortable with everything and made sure I felt zero discomfort before, during, and after the surgery. It's been two years and we still keep in touch and he still asks how I'm doing, and I still drop by for occasional checkups or just to talk some more. He's very personable and professional, reasonable and calming. I reccomend Dr Wesley as highly as I can, and sincerely hope that everyone gets the treatment they most need
  14. #BeforeAndAfterMondays In order to repair a poorly-executed transplant performed by another surgeon, this 30-year-old man underwent a combination of two approaches with Dr. Carlos K. Wesley: 1) a follicular unit extraction (FUE) session in which a total of 2760 grafts (from both scalp and beard) were placed followed by a skin micro pigmentation (SMP) procedure to the donor area. Aspects of our surgical approach can be viewed on our site’s Most Common Questions page. Three elements combined to help improve his experience: graft harvest, graft storage, and patient safety. Rather than a larger FUE punch used by a robotic approach, Dr. Wesley used a smaller caliber hand-held motorized punch to performed the donor harvest. This approach better enabled the capture of donor intact hair roots that are slightly curved beneath the skin surface. Upon completion of the harvest, the patient’s donor area was treated with PRP and ACell in order to not only minimize scar tissue formation, but also encourage partial regeneration of donor hair follicles. Graft storage was optimized as hair follicles were incubated in autologous (his own) platelet rich plasma (PRP) throughout the duration of the procedure. This, combined with an ATP-containing storage solution has been shown to enhance survival of transplanted hairs. Finally, having his procedure performed in our office with the highest standards of COVID precautions helped ensure patient safety. Every patient of Dr. Wesley’s receives a rapid COVID test upon arrival to our office equipped with an ultraviolet air purification system. Measures such as reducing foot traffic by performing virtual consultations at no charge to patients, regular staff COVID testing and no-touch temperature checks of our team that avoids public transportation help preserve our clean and sanitary safe haven. Daily sterilization of the office coupled with the most rigid OR safety precautions further allay patient concerns in this sensitive time. The patient returned one year after his procedure and images of the patient can be seen below. This link illustrates the timing of hair growth after surgery. Similar patient hair transformations with Dr. Wesley and his team may also be viewed.
  15. #BeforeAndAfterMondays This 63-year-old man underwent a follicular unit extraction (FUE) session with Dr. Carlos K. Wesley in which a total of 2149 FUE grafts were placed. Aspects of our surgical approach can be viewed on our site’s Most Common Questions page. Three elements combined to help improve his experience: graft harvest, graft storage, and patient safety. Rather than a larger FUE punch used by a robotic approach, Dr. Wesley used a smaller caliber hand-held motorized punch to performed the donor harvest. This approach better enabled the capture of donor intact hair roots that are slightly curved beneath the skin surface. Upon completion of the harvest, the patient’s donor area was treated with PRP and A Cell in order to not only minimize scar tissue formation, but also encourage partial regeneration of donor hair follicles. Graft storage was optimized as hair follicles were incubated in autologous (his own) platelet rich plasma (PRP) throughout the duration of the procedure. This, combined with an ATP-containing storage solution has been shown to enhance survival of transplanted hairs. Finally, having his procedure performed in our office with the highest standards of COVID precautions helped ensure patient safety. Every patient of Dr. Wesley’s receives a rapid COVID test upon arrival to our office equipped with an ultraviolet air purification system. Measures such as reducing foot traffic by performing virtual consultations at no charge to patients, regular staff COVID testing and no-touch temperature checks of our team that avoids public transportation help preserve our clean and sanitary safe haven. Daily sterilization of the office coupled with the most rigid OR safety precautions further allay patient concerns in this sensitive time. The patient returned one year after his procedure and images of the patient can be seen below. This link illustrates the timing of hair growth after surgery. Similar patient hair transformations with Dr. Wesley and his team may also be viewed.
  16. Good to see Dr. Wesley giving context to this thread. Please update us throughout the next 18 months. I think your hair will look really good in the longer-term. Cheers!
  17. Thanks Dr. Wesley. Apologies again for getting too much up in my head about things too early on in the process; lesson learned about waiting for a finished product. Thanks also for all you've done and the reassurance, I really appreciate it.
  18. I have to apologize, both to the forum and to Dr. Wesley's office. I spoke with Dr. Wesley on the phone shortly ago and I no longer have any concerns at all. He showed me a one week/one year result that looks far more questionable than mine at a week and great at the end (he may post it here) and the change is pretty incredible. I was wrong to let some of the comments about density get to my head like I did and freak out so early in the process. I suffer from generalized anxiety and let it get the best of me. To be even more frank, I lost the love of my life earlier this year and am admittedly not in a very good mental state right now. I lost a lot of hair during the course of my relationship and am doing this to try to get back closer to where I was while I get ready to get back out into the world, and so I've placed a lot of importance on it, which results in a lot of anxiety. I am completely reassured and have full confidence that this will be a great result. I look forward to being someone to send others who are freaking out in the future to and being able to tell them that you can't let post op photos affect your perspective of how the result will look. Like I mentioned in earlier posts, I'm going to take a step back from over-scrutinizing things now and just let time take its course. Sorry again.
  19. Lol, alright, thanks, that's reassuring I guess. It does to me, but maybe I'm showing an error in judgement. Thanks. The immediate post op looks more dense to me at first glace, but I think it's mainly the scabs creating more darkness resulting in an illusion of graft density. When I find a specific hair in the post op picture, the vast majority of the time I can find the same hair present in the 2-week picture. There are a couple of spots I can tell a hair or two have shed, but the shedding seems minimal to me in that picture. At this point I definitely recognize that things are starting to shed and so it will be futile to make any assessments until a year down the road. It just felt like, looking at the foundation of what things will be growing from, the area will be even more sparse than my hairline had been pre-op, which obviously would be a step backwards in the hairline appearance and would be pretty devastating, just psychologically and also for the amount of money I paid. I'm sorry for the negativity; 2021 has been an incredibly hard year for me and maybe I'm just in a mindset where I now expect things to go badly for me. Dr. Wesley initially planned to harvest 24-2600 grafts for my procedure, so when he was only able to get 2200, the donor area was unable to be properly sutured shut and I learned I'll need a second procedure to graft into the scarring, the hairline density looked low to me and others on this site agreed, etc., it just feels like "Here we go again; nothing can go right."
  20. I saw some (potentially made up) figure that said that 7/10 people who had had a hair transplant regretted it. I'm new here, so I haven't been around long enough to see much in the way of most people's results and how they feel about it. Obviously people on this forum do more due diligence than the average person, so I'm really hoping that the satisfaction here is higher. I'm planning (most likely) on doing a procedure with Dr. Carlos Wesley, and I just really don't want to mess things up. What percentage of people on here who use a recommended doctor wind up feeling bad about their transplant or wishing they hadn't done iit? Thanks a bunch to all you veterans for your insight.
  21. Okay this is starting to get ridiculous. You’re literally posting a picture after 95% if the grafts have shed. Please pm me your name and date of surgery. I will reach out to Dr. Wesley.
  22. I can tell there’s some shedding already in this picture. Shedding can occur as early as 5 days. It’s virtually impossible to say for certain. Here are the facts, your hairline was lowered maybe two centimeters. You’ve had 2,200 grafts transplanted. Now, even if you’re on the lower spectrum of donor density you’re looking at around 1.5-1.8 hairs per graft. That’s 3,300-3900 hairs. I will say this, I would be shocked if that much hair didn’t make a significant impact in such a small area. That said, absolutely no one can guarantee your happiness. Will you be satisfied? I don’t know, no one does, but I’m confident it will be a significant difference for a small area. If you can ask Dr. Wesley for the numbers you can figure out the number of hairs.
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