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  1. Hi everyone, This forum has been a tremendous help! On 8/10 I had 2756 FUE grafts done by SMG. As @hybonix and other recent reviews have stated, this is a first class clinic! Dr. Shapiro, Jo and the team are fantastic and I had all the confidence in the world with them. I was pretty torn between going with Dr. Wong or SMG and also starting with FUE first with my advanced balding pattern. I actually flew out to Minneapolis on my own dime to consult with Dr. Jo in person and felt really good about Fue and SMG after this meeting! The breakdown is 2756 grafts totaling 5529 hairs. 1’s-601, 2’s-1537, 3’s-618. I will be starting the topical Finasteride/Minox combo from Farmacia Parariti in one month. I’ve struggled with minor sides so I’m hopeful this works well. Things seem to be healing very well 10 days post op! The only real concern I have at this point is regarding the hairline. I love the shape and height but it turned out to make a slight lowest point over my right eye. Looks a little off but I definitely won’t judge anything until it’s grown out. I may end up loving it and think it looks even more natural that way. Time will tell!
  2. Journey & Decision After thorough research, I decided to pull the trigger and get a HT at Shapiro Medical Group with Ron Shapiro and Dr. Josephitis/Dr. Joe. SMG spent many hours over the phone with me and answered all my questions. I emailed Ron Shapiro directly and Matt Zupan (Patient Educator), and they always addressed all of my concerns/follow-ups. Matt called me very frequently to check up on me and has pretty much become a friend at this point. The front office staff, Matt Zupan (Patient Educator), and everyone involved wanted to make sure that I had the best care. They did not care about making money or getting the "sale" as they honestly wanted what was best for me. They even recommended other great clinics if I decided not to go through with SMG. SMG was the only clinic out of the 5 places I contacted who actually walked me through the concept of donor supply, how to look at the future for when my hair loss progresses and what I can do to prevent more hair loss (medication, exercise, etc.) They have a concept to not blow your entire "wad" with a mega session and see how the first procedure goes to ensure you can make revisions later on and assess where you are. This approach makes perfect sense and gives the patient more donor supply to fine tune their hair in the future. I originally booked with Dr. Diep but decided to back out due to a lot of recent negative reviews and concerns about his ethics. Please review my other thread here and post here about the situation. I want to give a major shout out to aaron1234 for coaching me through the whole process and recommending me to go through SMG/Ron Shapiro. This is the best decision I have ever made and I would not have gotten this far without him. Aaron, thank you for everything, I owe you. Also, notable mention to jimcraig152 for giving me some solid advice regarding my surgeon decision. Shapiro Medical Group (SMG) Review This clinic is hands down one of the most professional clinics I have been to. It was an amazing experience and I felt right at home at SMG. The staff/technicians/doctors are so genuine, caring, and love what they do. Ron Shapiro took his time with me to explain the process and decisions behind the HT and hairline. The staff and technicians were very friendly and we got along well. They introduced themselves and wanted to know more about me. They cared about my personal life, we joked/laughed together and we were all just having a great time during the procedure. This made everything so much easier. Oh, and everyone is super organized which is a huge plus. The office itself is super clean and everyone followed COVID procedures to a t. Great atmosphere and I felt 150% comfortable being there. Pre-Surgery Appointment Mattt Zupan (Sales Consultant) took my before photos in their studio. Pamela (receptionist) took my food order for the procedure day. I got to meet with Dr. Ron Shapiro and go over our game plan. He let me ask as many questions as I wanted and was very patient with me. He also showed me many photos going over this donor supply philosophy and why he likes his conservative approach versus mega sessions. Before Photos Surgery Day 1 Got in at 7:30 AM and was greeted by Pamela (receptionist). Dr. Josephitis/Dr. Joe greeted me and had me change into their provided shirt. He asked if I had breakfast and I had not. He immediately got me some breakfast/energy bars and apple juice so that I was not hungry. Dr. Joe cut my hair (in their barber room) short enough, but left enough hair so that Dr. Shapiro could see how to properly blend my grafts with my hair loss appropriately. Went into the surgery room and my vitals were taken. Everyone introduced themselves and I hit it off with the staff immediately. They got me blankets, water and let me pick out a movie on the Apple TV. The technician (Vicky) numbed my head so we could make the incisions. They used massagers/vibrator on my face to distract me. Ron Shapiro came out and began to make the incisions on my head. He did roughly 2000 incisions. Hole sizes were predominantly meant for 2s and 3s. Some 1s for hairline. Ron took his time and did not rush the incisions which was awesome to see. He did them with intent and purpose. I got numbed in the back of my head for extractions and received a back massage + face massage for a distraction. SCORE! Dr. Josephitis came in to perform my extractions and got roughly 1620 Grafts from the middle section of the back of my head: 674 3's | 782 2's | 164 1's Dr. Ron came back out with the technicians and supervised for a bit while they began to implant the grafts. He also made some additional incisions for 1's that Dr. Joe extracted PS: Lunch was amazing! Lunch Break Photos End of Day 1 Surgery Photos Surgery Day 2 Front staff fed me again, provided blankets, movies, etc. Technicians numbed me again for procedure Dr. Ron made an additional 1000 incisions in anticipation of harvesting a total of 3000 grafts. Ron took his time and did not rush the incisions. Dr. Joe finished my extractions on the sides of my head and was able to extract a total of 1600/1700 grafts and exceeded my expectations. Dr. Ron and I were pleasantly surprised here. This surpassed our planned 3,000 graft count and hit 3332. Dr. Ron came back and added more incisions to cover the new grafts. He finished my hairline and advised his technicians on where to place the 1s, 2s and 3s. EDIT: Ron injected 5cc's of exosomes into my scalp which are derived from stem cells. This is supposed to be better than PRP and has major benefits from a single session. SMG has seen great results with hair growth from this treatment, and I decided to give it a shot. This exosomes were diluted to 10ccs and injected all over my scalp. You can learn more about exosomes here. End of Day 2 Surgery Photos FINAL GRAFT INFORMATION COMING SOON Summary All in all, I am super IMPRESSED by the professionalism at SMG. Ron Shapiro did all the incisions in the recipient area while Dr. Joe (Very experienced surgeon) did all the extractions. Dr. Ron supervised and helped the technicians with the implantation. Ron came to the surgery room frequently when the techs were implanting and always made sure I was taken care of. Always took his time to re-asses the hairline and make sure it looked good. Dr Ron & Joe took their time to ensure that the incisions made sense and that the extractions were super clean and spread out. Dr Ron & Joe answered all my questions during the procedure as well and you can tell they are both super passionate about what they do. I got thorough answers and learned a lot in the surgery room. The staff was super friendly and we talked about our lives, kids, family, interests and etc. Made the experience really fun. I would definitely recommend everyone who is looking for a US surgeon to go to SMG as this is a world-class clinic which provided an experience I will never forget. They made my first Hair Transplant an amazing experience and I look forward to returning if I am going to get another procedure. I left the clinic thrilled and ready for my next steps in life. The final graft count is as follows: 1’s - 663 2’s - 1912 3’s - 757
  3. Howdy everyone. Been lurking for a bit and finally got the procedure done myself. 28 years old been on finasteride for 2 years and minoxidil 18 months with some regrowth, but it wasn't going to bring it all back so I decided to get a transplant to take me the rest of the way. How do you guys think it's progressing? Personally, I'm extremely impressed with how quick everything is healing. I like the hairline design as well. I attached a picture of my regrowth, pre op pics, immediate post op pics and pics from today (day 6). Let me know what you guys think and if you need more details! The plan originally was to repair the frontal band and the temple points, but we decided to wait on the temple points, except for addressing the weaker one, because that's where I had the most regrowth and it could be liable to recede again. I hope to wait until about 35 to see how everything is stabilizing and address the temple points at that time if my hair is holding up well. If not I'll address the midscalp and crown or what is needed at that time. Let me know what you think of my plan as well. Thanks!
  4. Hey everyone- On 4/1/21, 10 days before my 45th birthday, I had my first HT FUE procedure at SMG with Dr. Shapiro and Dr. Josephitis. I have worn baseball hats, combed my hair forward and painstakingly tried to disguise my hair loss for 25+ years - essentially my whole adult life. I first noticed my hair loss when I started dying my hair at 18 because I thought it was a cool thing to do. I will never forget that night in '94 when I rolled over on my pillow and a clump of hair detached from the right side of my hairline. I don't want to sound dramatic, but I was traumatized. I started taking Proscar over 20 years ago and have maintained a NW ~3.5 or thereabouts since with more recession in the front than the crown. NOTE: I recently started taking oral Rogaine in March '21 per SMG's recommendation. Despite all the insecurities I experienced around my hair, I have had a successful career and family life, but my hair situation instantly made me feel more self conscious, anxious and less outgoing. About 2 years ago, I started seeing a therapist primarily to address my biggest insecurity in life. I decided the first step was to shave my head which happened right before the pandemic at the beginning of 2020. While rocking a bald head was probably a cleaner and trendier look than combing my hair forward, I found that calling more attention to my baldness was just amplifying my anxiety. I watched Melvin's video on trying to shave your head *before* considering a transplant and it hit home with me. I had tried the shaved head option, but realized my hairline and overall thinning would bother me whether I buzzed it all off or tried to grow it out longer. This year, I decided to move forward with Shapiro Medical Group. I am about 10 weeks post-op and wanted to share my story and initial before/after pics. Mentally, I am trying to practice patience and reserve judgment as I realize that results don't start to show until 3-4 months in and final results can take 12-16 months. I am also managing my expectations as best as possible. I likely used less than 1/2 of my FUE donor supply (2500 grafts) and am open to tweaking and/or bringing the hairline down in the future assuming it can be done discreetly. What drew me to Dr. Shapiro and SMG were their natural results, track record and years of experience. It also helps that it's a convenient 15 minute drive from where I live. I know there are many doctors on this forum that do excellent work, but I never saw a Shapiro hairline that I thought looked unnatural in any way, shape or form. For me, my first priority was broadening my hairline and having it look completely undetectable, even at close inspection. After studying Dr. Shapiro's lectures, methodology, and results, I felt confident in my decision to move forward. I have learned to view my procedure as an improvement. I am not going to achieve my ideal hairline, which would have likely been ~0.5-1 cm lower, but I am hoping that adding more density and broadening the hairline considerably will make me more comfortable and confident in my appearance. I also can take some solace in knowing that I have more donor hair to work with should I still feel the desire to bring my hairline down further after the final results come in. I was never pursuing a straight hairline or trying to recapture my high school hairline, so I just have to wait and see if the first procedure will be sufficient or if I may need some additional work done to reach my ultimate goal. In terms of the numbers, I had 2530 grafts/4718 hairs (832 one hair grafts, 1208 two's, 490 three's). Dr. Shapiro did convince me to use a couple hundred grafts in the temples which were significantly receded as well, and I think that was the right decision aesthetically. Would love to hear any feedback and would be happy to answer any questions as well. I am excited for the future, but am also trying to maintain a realistic and positive outlook in the meantime...
  5. It’s the first I hear of customer service issue at SMG, it’s really a top-notch facility and Dr. Ron and Dr. Josephitis are both fantastic surgeons and people.
  6. Thank you very much to both of you for your concern. Much appreciated. Even if I would have preferred an opinion on my original question 😉 Indeed my donor area is quite limited, but several renowned surgeons, including, Feriduni, Konior or the HLC clinic indeed consider me as patient for a FUE (scalp + beard). I hope I can trust their acute analysis and experience. In the case where some FUE spots would be visible, possibly SMP could help. I indeed had a SMP into my scar before to excise it. It was good at the beginning but the 2nd tatoo made on it wasn't natural anymore. I don't take any Propecia and Monoxidyl as I has side effects for both. The 2 FUT were done 11 years ago in Canada by Dr. David Clas, but he has closed his clinic some years ago. The result was very good in the first years then it started shredding year by year until today. I don't know I could have avoid the loss of grafts with another surgeon, maybe it's due to genetics.
  7. Growing up I always thought your hair went grey before you lost it.. life showed me otherwise. Does anyone have a good source for notes on the things David Sinclair talks about? Podcastnotes.org does a pretty good job but they charge a subscription, might be worth it anyway to get info from the likes of him and Dr. Rhonda Patrick who I found stays very current on everything health
  8. Guys, I have gotten the green light on a very exciting live Q&A. The one and only Dr. Ron Shapiro the author and publisher of the best study we have comparing the growth rate of FUT and FUE side by side. He also states the case for maximizing donor supply by utilizing FUT first and then using FUE. There are so many questions around donor maximizing/preservation. I'm truly excited for this one guys, we're also going to have Dr. Josephitis who has been performing FUE with the WAW, Mamba systems for years at Shapiro Medical Group. The date and time is still pending, but it will happen. Let's get the buzz going guys, not often we get to speak to a legend like Ron one on one. https://www.ishrs-htforum.org/content/28/5/179 https://www.ishrs-htforum.org/content/htfi/29/5/local/front-matter.pdf
  9. From the Shapiro medical group, I see Ron Shapiro, and Dr. David Josephitis in the coalition. From reading around this forum, I see at one point Paul Shapiro was on the coalition but thent it looks like he's not there anymore. Is there any insight to this?
  10. No, he is no longer practicing surgery full time and asked to be removed. Dr. Ron Shapiro and Dr. Josephitis are active.
  11. Hi all, I've posted a couple of times on here previously. My story briefly is as follows: I'm in my early thirties, and have been noticeably losing my hair since around 2006 (so 10-11years), with the most rapid loss between 2012 and 2014. My father is a NW5 slowly progressing to a 6 (but he is 70!), I'm probably a NW5 too at present but progressing towards an NW6. My maternal grandfather had a full head of hair (maybe a NW2 or NW3 at worst), my paternal grandfather didn't (probably a NW6). Despite noticing my hair loss for the past decade or so, I haven't really taken any action. In 2011 I trialled minoxidil for 6 months, however stopped taking it after this time due to palpitations. It worked well, I noticed new hairs forming (in my hairline), however after I stopped taking it I noticed dramatic loss in a couple months or so (hence my worse loss probably being around 2012-2013). I never tried finasteride; I know, people are going to say; "why not?" or "just give it a try!". It's purely a personal decision; I do not wish to undergo any of those side effects nor have to take a pill for the rest of my life. If this stops me from getting a great result, then so be it. However, I am perhaps willing to try 1mg of Propecia 3x/week; that way it would be much cheaper and also I would hopefully at less risk of sides (it’s not just the sexual ones which concern me, I have a very high functioning job, and need to be on my A game all day; I don’t want the cognition side effects either). Anyways, I decided I would probably need multiple HT in 2013 and enquired at H&W with David Anderson. He was very amicable and he followed me up until 2016 when he left. I actually booked a 4500+ FUT megasession with Dr. Hasson, however unfortunately I had to cancel this due to no longer being available at the dates I had booked (as I would have to fly to Canada and back this was not possible in the short amount of time I had off). I was also uneasy about undergoing FUT due to the scar. I have already told myself as a last resort that if my hair gets really bad I will just have to keep it really short or buzzcut it, this would not be possible with FUT (and is just about a possible with FUE); I understand that FUE leaves scars too, don’t worry. They were very kind and considerate about all this and I thank them and their whole team for their professionalism. For sure if I needed a FUT they would be the first point of call; I had been researching for the last 5 years or so, and they definitely seemed the top. I then went researching for a surgeon who did FUE who was close by but affordable. My research brought up several familiar names: Lorenzo, Bisanga, Lupanzula and Erdogan. These (location wise) would all be feasible in my very limited time off and all their work shows great skill. However Lorenzo never replied to my emails until several months later and I decided I didn't want to fly in the end so ruled Spain (& Lorenzo out) and Turkey out and thus Erdogan. This left both Lupanzula and Bisanga as my top choices, they both had my dates available, and if I am correct Lupanzula worked previously with Bisanga? I was able to consult with Dr. Lupanzula over Skype however unfortunately logistically I was unable to meet him, however I was able to actually meet Dr. Bisanga in person and this definitely swung it for me. He was very amicable, and has many have commented he doesn't promise you the world, he is very realistic, conservative (the good kind!), honest and ethical. We decided that 3000-3500 grafts would be most appropriate with them concentrating on rebuilding the hairline and the frontal third. As you can see from my photos, the crown is also very bare, but I will have to therefore have another HT to potentially sort this out in the near future ± try propecia 3x a week. I was classed as a NW4V although I feel my hair is worse than that; it was probably made difficult for the doctor as I had my hair very short at the time of the consultation. In my eyes, hairline > crown coverage due to framing of the face.etc. My hair is quite thin, and my head is quite large, therefore I am not sure what sort of coverage I would need to get a good result, but thankfully my donor density was rated as decent with 80FU/cm2 all around. So, tomorrow I will have the first session of 3000-3500 grafts and then revisit my hair in 2 years time to either work further on the front, midscalp or deal with the vertex; depending on how much reserve I have. I’ll try to keep updated! Photos below are from January time; I can update with clinic photos tomorrow.
  12. In my opinion, if you want to maximize your donor supply you should start off with FUT, you look to be a Norwood 6. I don't think you'll follow your fathers hair loss pattern. Although, nothing is set in stone. Here is my advice, submit as many virtual consultations as possible. Get a general consensus for the price and the number of grafts you'll need. Below is our list, you can start submitting VC's now. Forum approved list https://www.hairtransplantnetwork.com/Consult-a-Physician/hair-transplant-surgeons.asp?sr=HRN Watch these videos, they are from world renowned Dr. Shapiro, Dr. Josephitis, Dr. Nadimi and Dr. Konior. They will help you figure out the differences, and they will explain why getting a personalized consult is ideal.
  13. Dr. Shapiro and Dr. Josephetis have super reasonable FUE prices that are cost-effective when compared to H&W, Gabel, Cooley and the others. I saved quite a bit of money going to Shapiro Medical Group versus H&W, and SMG is top notch (cost was not the determing factor either, it was just another plus side by going to SMG). Melvin posted an interview with H&W and it's not all about the graft numbers, but how the transplanted hairs covers your skin to look less bald. Yes, more grafts will give you more density, but Coronal vs. Sagittal slits and other factors like size of hair follicles (fine vs thick hair) will determine the looks. Hair transplants are an illusion of density and you have limited supply. Each person has roughly 6 - 9k grafts and you want to plan appropriately. Shapiro who teaches transplant strategies extensively taught me that you shouldn't blow your wad in one session and cap it around 3k grafts to determine where you need to go next. Since you are young, you will most likely lose more hair and need another transplant. A low/aggressive hairline may look great now, but in 20 years, it may not. So, you need to plan accordingly based on donor supply. Chasing your hair loss will never end and you will need to keep taking meds, monitoring hair loss and seeing what your next steps are. One procedure is not enough and if money is an issue now, it will come to rear its ugly head again in the future imo. The next procedure you may not need as much, but it's still costly. Several veteran member here have had 4+ surgeries perfecting the density and hairline as their hair loss progressed even with medication. So, ask yourself now if this is worth chasing for the next 10, 20, 30 or even 40 years. To get that density and what you are looking for in that picture, I would say you need 4 - 5k grafts, maybe even more. 3k is a good starting point, but won't get you that amazing hairline in your doctored photo. You will look great for sure, but you have to be realistic and understand that a HT will never look as good as natural hair, but can improve your appearance and make you happy. There are grand slams and good results. Everyone is different and there is a chance that the procedure could fail (very low chance with a good clinic) but it's happened. Every doctor have people who had transplants that were complete failures due to the person not taking grafts well, even elite doctors. I am not to trying scare you, but saving you lots of time by being upfront about what it takes to keep your hair and the future. I would highly recommend you contact Shapiro Medical Group as they have amazing prices and are an elite clinic. Working with them, they didn't care about my money and honestly wanted what was best for me. They educated me about transplants and offered a whole new perspective. They even recommended other top clinics if I decided not go with them, so they truly care about you as a patient. You get the best of both worlds there and I am thrilled with my transplant thus far. Of course I would love a lower hairline and more density (everyone does), but you gotta be realistic and manage expectations with your budget and needs. Feel free to PM me and I can give you some guidance on what I have learned. However, please also contact other members for real reviews and results. Melvin has amazing YT videos on what to look for and how to pick the right surgeon -- follow his lead and investigate these forums to find your answer. Here is my thread if you want to learn more: https://www.hairrestorationnetwork.com/topic/58171-3332-fue-grafts-dr-ron-shapiro-dr-josephitis-smg/
  14. To be honest I am not at all familiar with the International Doctors as I was focused on the US but certainly those few names you mentioned come up often in these forums and should be looked at seriously as top choices for patients outside the US. I have now had three procedures (one failed and two with Konior that were magical) and feel I can offer real experience and lessons learned as a karma payback for all that I gained from this forum. I firmly believe that if at ALL financially possible only go to the top clinic in your geography. Excluding Turkey and other low cost countries, the difference in cost between an average clinic and a world class one in the US for example is only a few thousand dollars. That might sound like a lot but it is nothing compared to the life long consequences from getting a bad result. In the US I believe Dr. Konior is the only choice, he is a true master of cosmetic hair restoration surgery. The analogy I would use is seeing the Sistine Chapel and his David sculpture and then looking for another artist instead of choosing Michelangelo to save some money. These forums are full of amazing patient results like Matt1938 illustrating Dr Konior’s work. I understand that the premier clinics have long waits but the huge benefit of this forum is helping guys find the few doctors who can REALLY give you back your hair. My advice is only go to an elite surgeon and there are simply not many who truly are in the entire world. No offense but how the heck could someone be from Chicago and NOT go to Dr. Konior?
  15. Do Clinics have VIP sessions? I bet they do. If a "person of interest" comes knocking on your door, how could you say no? How much more could famous patients be paying compared to us regular patients? If Dr. Konior charges $12/graft, would he charge double on a VIP session? I mean, if I had Tom Bradey´s or David Silva´s "income" I would pay double or triple ... Any idea if a Clinic is open about doing this?
  16. "Our cover article by David Josephitis and Ron Shapiro is an ambitious and well-designed study taking place over two years in two patients who had two procedures, FUE and FUT, performed at the same time, twice. Their conclusions were that more grafts were obtained on the FUT side, residual donor density was greater on the FUT side, and FUT plus FUE yielded more grafts. When done properly, FUT is unarguably more efficient than FUE. That is important news! So why are some trying to relegate FUT to historical footnote status?" By the way I do believe there is essence in consulting with doctors who perform both methods without bias (economic, marketing etc etc) and put emphasis on patient needs, expectation and long term planning. In other words, ethics. I think that the truth shouldn't be blurred due to what the "market calls for". Just like someone is going to doubt the motives of Dr Feller for his 'aggressive' FUT stance and Dr. Cole for this 'aggressive' FUE stance, why not consider Dr. Wong and Dr. Konior's opinion who still perform both at high level (and most people on the boards consider legend status of the industry) I agree with not pushing for one procedure over another because of the type of procedure someone has gotten so they don't want to admit the opposite method maye be better etc. I think everyone should have the chance to make a decision based on facts and not marketing. For the record, I believe exclusive FUE is great for many cases but for access to max amount of grafts over someones lifetime, it simply isn't.
  17. If your goal is to get the maximum amount of lifetime hair, go FUT. I will be talking to Dr. Shapiro and Dr. Josephitis next week, both were part of a study that looked at FUT and FUE growth rates and donor preservation. Going FUT first provided the most hair. Nizoral works just fine for me.
  18. I'm already a hairy gorilla, I can't see how I could get much worse. I'm gonna ask Dr. Ron and Dr. Josephitis for their opinions and safety of oral minoxidil. I'll be speaking to them on our Instagram live next week.
  19. Let us know, please. With the Maitland Clinic it takes up to 4 weeks for a video consultation, and possibly more for a subsequent personal consultation with Dr. Ball. No idea how long before surgery, but I'm guessing their waiting list is really long. I'm having my video consultation with David Anderson on the 19th, will let you know how it went if you're interested.
  20. Hi all, I've been lurking the forums for a while but felt the need to make an account because I could not find the answers to my questions alone. While parsing some of the threads from this website, along with other resources online, and while I have found a general consensus for what the general approach is to maximize your available donor hairs, which is of course a concern for those of us headed, or already at, a high Norwood level, I still had some questions unresolved. The consensus that I've gathered is: Maximize as much as you can from FUT, and once that is done, fill in the rest with FUE as much as possible. This would, in theory at least, optimize your chances for the best yield, and without damaging your donor too much to allow for that greater number of lifetime donor grafts. However, I'm a little bit unsure how sound this conclusion is. For one, although the number of published works on transplantation yields, at least recently, is low, there is evidence that FUE yields are able to equal, and even perhaps slightly surpass, FUT yields. See the David Josephitis and Ron Shapiro work: https://www.ishrs-htforum.org/content/28/5/179. I have also seen another post from a hair transplant surgeon who did a test run of 100 grafts and said that 99 of them grew, but I cannot recollect the exact thread here where I read this (perhaps it was Dr. Vories?). However, if one desires a larger number of grafts in a single session, then it's rather well known FUT, on average, is the better choice (see posts from clinics such as BHR and additional ones for support of this notion: https://bhrclinic.com/fue-or-fut-first-thats-the-question-2/) So, it instead seems to me, if you are going for a mega-session, then the FUT vs FUE argument sways more toward FUT, as the ability for the scalp to heal after a large number of FUE grafts is more challenging than a larger FUT procedure. This makes intuitive sense. But, suppose you greatly decreased the number of FUE grafts in your procedure, and kept it between 500 and 1000. If we assume cost is not a deciding factor, purely available donor and yielded recipient grafts, what would be your variation in yield and available resultant donor with the following options? a) 10 FUE procedures of 500 grafts b) 5 FUE procedures of 1000 grafts c) 2 FUT procedures of 2500 grafts d) 1 FUT procedure of 3000 grafts and 1 FUE procedure of 2000 grafts That is to say, as the number of procedures "m" increases, and the number of grafts taken "n" decreases, does that lessen the delta between FUT and FUE? If so, it would seem if money and time were not a factor, a smaller number of FUE procedures would a) give you a very comparable, if not potentially even better yield, b) allow you to avoid the unsightliness of the linear scar which many patients would like to avoid, and c) not compromise your leftover donor reserves any more than a FUT procedure would. Is this line of reasoning correct? Thank you all for your help Also, if anyone has full access to this Shapiro and Josephitis paper "A Side-by-Side Study of FUT vs. FUE Graft Availability in the Same Patients and Its Implications on Lifetime Donor Supply and Management" https://www.ishrs-htforum.org/content/29/5/177, it would be great to see the actual numbers they found, as the abstract did not include them.
  21. i reached out to H&W to see what they would consider and they told me that i should consider FUT for 5000 grafts with them since i have a lot to cover but when i showed them my laxity video, they said i need to do stretching exercises for a few months as my scalp isn't stretchy enough for FUT at this time. They didn't get back to me when i asked if i can do FUE. I feel like i'm ruled out of doing FUT from my conversation with David at Dr. Wong's office. Dr Pekiner said 4000 grafts (2000 from BHT though) Dr. Ferreira said he would do up to 4000 grafts doing FUE all from scalp but would be as gentle as possible he said to avoid risk of over harvesting. he thinks he can take up to 3600 on 1st procedure. What would you guys do if you were in my position?
  22. For anyone who's done their research, no UK clinic ever really makes it on to the "wish list".........closest IMO is Dr.Ball at Maitland Clinic who seems to do good work.........but never seen him on anyones Top 5 in the world list....or the home run threads you see from Hasson, Konior, Couto, Wesley, Bisanga etc. Look at the list of British celebs/sports stars with crappy/weak HT's and you'll see what convenience gets you - they've unlimited resources yet they end up with average / below average results (Wayne Rooney etc.).....look at the spanish/italian footballers playing in England who got their HT done "at home" on the continent - David Silva, Antonio Conte etc......outstanding results no doubt done by Dr.Couto, Bisanga, Lupa etc. Your hairless is minimal..........I would argue that counterintuitively this places you in much higher risk category for a bad HT outcome than say a NW4-5, where any framing/coverage could be deemed an improvement over base case for them. For you - a poor density outcome, bad graft placement, hairline design at such a low point in the hairline and I can guarantee you your mates / girls will spot a mile away that you've had something "done". This is why I consider your choice to be a much more high risk one than someone with more severe loss looking to get back to a modest NW3 let's say. Easyjet/Ryanair will fly you to some of the best surgeons in the world for 50 quid in under 2.5hrs.......you'll also have nice European city break before/after.......you can come back in a year & thank everyone here for saving you time/money and stopping you from taking the lazy/convenient option.......for a lifetime appearance altering elective cosmetic surgery it doesn't make sense to be lazy...................whatever you get done is gonna be on your head for the next 50 years (think about that).
  23. Hi GNX1, Wow.....way to be the judge, jury and the witness! You have been on this forum longer than most folks (2001) but Dr. Bhatti has been a world reputed HT Surgeon way longer than that. If we go with your logic/philosophy/rationale/assumption etc. then Dr. Bhatti should not have been in business. RIght? If an HT Surgeon is as bad as you would like us to believe, how did he manage to not only survive but actually thrive in the HT world?.....go from one HT Clinic to a full fledged hospital? Are you saying that the thousand of Patients that put their faith in Dr. Bhatti are naive, ignorant or not smart enough? You have come out with guns blazing against Dr. Bhatti and I am trying to figure out why? You have basically accused this reputed forum that prides itself on being an unbiased Patient advocate of corruption! Can you please name one person that got banned on this forum for criticizing Dr. Bhatti (and not for breaking the rules of this forum)? Talk is cheap....slander doesn't take much.....does it? You say that "few of the HRN moderators had HT's from him".....let me help you get your facts right. ONE forum moderator, David got his HT done with Dr. Bhatti. He went all the way from the US to India to get his procedure done. You do realize that the moderators of this forum do know a thing or two about HT's ....right? So, David after being a moderator of this forum for many years and knowing the HT business much better than you and I (most probably) would just close his eyes and fly to India to get his HT done by a "bad HT Surgeon"? Wow......what logic......! We are blessed that we live in a free country but with freedom comes responsibility. Unfortunately, your comments are very offensive against Dr. Bhatti and against this forum. Since you are a "veteran" here, you might remember that Dr. Bhatti was made to go through all kinds of "tests" before getting recommended on this forum. He earned his place here and did not get it handed to him on a plate. You say that Dr. Bhatti's "graft placement is too far apart"......I just added the pre-op and post-op pics of a random Dr. Bhatti Patient here........please take a look and see for yourself. How much "closer" would you like the grafts to be?........HT is not a perfect science and it is definitely NOT a "one size fits all"....... I do hope that you will think twice in the future before bashing someone. It is not nice and it is not fair. I wish you all the best. Stay safe. Regards, California
  24. Hi Bruce90, As per the Patient, these incidents took place in the UK (and not India). Thousands of HT Patients go to India every year from all over the world. After their results come in, they pass on the word to their family, friends and co-workers. My next door neighbor in California got his HT done by Dr. Bhatti 3 years ago. Since then he has referred at least 10 of his friends and family from the US and Canada to Dr. Bhatti. I get to see my neighbors great looking hairline every time I see him driving one of his cars (he collects cars) or playing catch with his son on his driveway. The previous moderator of this esteemed forum (before Melvin) David went to India to get his HT done with Dr. Bhatti. He shared his entire happy HT journey on this forum. Passing a blanket judgment on a Clinic or a country just because of one rogue incident (which should be taken seriously and dealt with appropriately) is not fair in my opinion. That said, I respect your views and your opinion. I wish you all the best. Stay safe. Warm regards, California
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