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  1. If you were considering FUT I would have said H&W is an easy answer. But while they are solid in FUE without doubt, they aren't above anyone else like they almost do with FUT. That said between all 3 they would be my choice (think Dr.Wong also is a tad better than Hasson in FUE, but don't take my word for it) ASMED produced some amazing results for some comparable cases, some other solid cases. But they also have underwhelming results too. Rahal is great, but there have been some recent complains IIRC. Are those your only options? I think if you can afford H&W FUE you might consider someone like Dr.Diep? I do really like his FUE work with high norwood patients.
  2. In my personal opinion, it's definitely minor, but you're stable on the medication, your hair loss isn't aggressive and you're not happy with how it looks right now (and assuming your donor area is at least average)...I'd say do with your donor area whatever you want to. You'll still have plenty of it for the future and if you'll enjoy your hair and your look better. My recommendation for this type of work is definitely Dr. Rahal.
  3. Hey everyone. New to this site and looking for support/input. I finally got the courage to go through with surgical restoration and my procedure is next Tuesday for 2500 grafts with Dr. RAHAL. I'm calling it FUEsday:D. I will admit I am pretty nervous and is surreal to me that I am actually doing this. I think I did enough research and feel like I picked a top surgeon. Has anyone gotten FUE with him on here? If so can you share your experience and results? How soon will I look normal enough to go back into the public eye? Thanks in advance.
  4. Hi folks. So I'm finally ready to take the plunge, live in Toronto Canada and have narrowed my short list to Dr. Nadimi in Chicago (of Konior fame), H&W in Vancouver, and Dr. Rahal in Toronto. My consults with each of them went like this: Dr. Nadimi: FaceTime consult Surgery in Chicago 1500-2000 FUE grafts recommended, could be all the way up to 2400 Shes not entirely sure she can get 2400 FUE grafts from my donor area based on photos and not-so-great FaceTime connection She will perform all extracts and most implants, will be there the entire time Does not feel comfortable doing more than 2400 FUE in a session due to scalp blood supply and time that grafts need to be implanted by (~8 hours) Uses latest tech, hybrid dull/sharp punch, learned everything from Konoir Potentially a discount for future hair transplants No official growth guarantee Recommended to stay in Chicago for a week to get looked after by the clinic Seems like a high end operation Dr. Rahal (Aaron and Tara did the consult): Aaron started the consult and was decent, called in Tara in the middle who blew me away In person consult Surgery in Toronto Measured a total of approx 5000 FUE grafts available in donor area 2500-3000 FUE grafts recommended for 1st transplant of hairline, will likely need another 2500 down the road for crown and touch up, aiming for 45-50 follicles per square cm Estimated Norwood 4-5 in the future No issues doing 3000 FUE in 8 hours, they have done 4200 in a day before Also uses latest hybrid dull/sharp punch tech Rahal and Mike will perform the extractions, Rahal will make the incisions and someone other than Rahal will implant Growth guarantee and free touch ups (not sure what the fine print is around this) Discounted graft rate for future transplants Patient care team access for a year Suggested pairing with PRP Hasson & Wong (James did the consult): In person consult Surgery in Vancouver 3000 FUE grafts recommended, possibly have 5000-6000 FUE grafts in donor area 3000 FUE done over two days, they limit surgeries to about 2000 FUE per day Recommended Dr. Hasson due to hairline objective (Wong more for crown work) Each doctor has performed 10,000+ surgeries Also uses latest hybrid dull/sharp punch tech, 0.85 punch size Techs do the extraction and implantation, Hasson performs incisions Estimated Norwood 5A future recession Informal growth guarantee and free touch ups Discounted future transplants For out of town patients they offer free lodging (3 days), taxis to and from the airport, and a partial flight credit I have to say, Rahal's team did the best sell job and I'm leaning that way.. but is 2500-3000 FUE too ambitious for one day? Am I risking hairs due to them rushing? I don't want to bias your opinion any more than that, but based on your experience on this forum, knowledge, what was said above and my pictures, what would you do? Any other insight or commentary you could offer before I make the plunge? Are there any other GTA doctors that I must absolutely check out? Hoping to finalize a decision in the next few days. REALLY appreciate all the help and support you guys can give. Thanks.
  5. Could one of you be so kind as to remind me how I’m supposed to clean my FUT suture. I know I start with the baby shampoo. Do you I simply spray the wound with the shampoo, or am I supposed to apply the shampoo to the gauze and clean the suture that way? Once I’ve cleaned the wound, do I apply the polysporin using my fingers, or do I apply the polysporin to the gauze? thanks in advance!
  6. While I didn't create an account on this forum over the last couple of years it was invaluable in my research process and I want to pay it forward, especially since I seem to be seeing fewer patient posts with recent dates, at least for Dr. Cooley. Thus I will try to be thorough here in describing my process. Apologies in advance for the length of the post and the variability of the quality of the photos. I know they aren't the best. I am still only a few days/weeks out and will update this with before photos and after photos from the clinic and exact graft count(s) when I get them and try not to disappear throughout the process. My Past Situation I had an ill-advised FUT procedure when I was 21 to address temple recession. I wasn't on meds, it was premature, and I went to a cheap chop shop. CLASSIC, young guy being really stupid. :sigh The procedure (unknown # of grafts) involved putting grafts on the temples and unfortunately also some around the front of my hairline. It did very little cosmetically unless you count triggering massive loss of existing hair (most of which did grow back in fairness). The only saving grace here is that we were talking about a fairly minor temple area and because of my light hair/skin contrast I've been able to get away with a forward brush hairstyle that hid really poor work. Oh and it wasn't big plugs and the scar wasn't horrendous and avoided being in any disastrous region(s) thankfully. No matter what you do STAY AWAY from Samson Hair Restoration in Los Angeles regardless of what doctor they currently have cycled in. Why now Now, 11 years later at 32 with some additional thinning and some recession the previous work was becoming harder to cover, especially when swimming or my hair was wet. Plus, I just wanted it fixed to open up different hairstyles and to get ahead of managing what I believe will be future loss. Almost a gradual "replace" strategy I guess. In terms of meds, I had been on finasteride w/ no side effects for 4 years but then went off for 5+ years (don't really know why). I went back on 6+ months ahead in prep for a procedure and plan to stick with it this time. Not on finasteride or any other shampoos etc at the moment. Picking the surgeon In terms of research this time around I did a lot more homework using this forum as the basis for creating a smaller list of doctors. Ultimately I narrowed my list and research to consults with Lindsay, Bernstein, Cooley, Bloxham, and Nadimi. I felt these were really great doctors that didn't necessarily require a flight based on my East Coast USA location (I was intrigued by Rahal, Hasson/Wong/Kronior and some of the other staple of well regarded doctors as well but with only so much time felt good with my short list). I did not consider India/Turkey etc., not because I don't believe quality results can't be achieved there, but because I didn't want to take the risk and conduct an extra level of due diligence with respect to many of the practices and I was willing to pay $ for that peace of mind. Notes on my Consults During my consult with Dr. Lindsay I felt like he just didn't think I needed a procedure yet. He cited 1200 grafts and it was all relatively cursory. So not a fit for me Dr. Bernstein was a good consult (worth the cost) where I learned a bit and I felt comfortable with him and his work, but ultimately I wasn't blown away by the results I've seen from him either on his website or on this and other forums My consult with Bloxham was really terrific and I got a great feeling from him. He was ultimately my #2 but I did not choose him mostly because he is just relatively newer with fewer posted results. And right or wrong, some of the (rare/older) negative comments about customer service/interactions from Feller put me off. I did NOT have any of this sense from Dr. Bloxham and have never met Feller but the posts are there nonetheless. I will also say, they need to upgrade their facility. Not the medical side hopefully, but the rest of the place was old and run down feeling. Dr. Nadimi was also great (via Skype) and matter of fact but I got the sense she did more FUE than FUT. Similar to Bloxham there are just fewer patient accounts out there that I could find, but based on what I've seen and this consult I was very comfortable and impressed with her Why Cooley Ultimately, I went with the only doctor I didn't meet/ have a convo with directly in Dr. Cooley. I appreciated the consult with Lollie and a deeper understanding of their procedures and liked what I heard about use of Acell, how he preserved grafts out of body, his hands on approach, the tenure of his techs, and so on. But most importantly Cooley's track record of consistent results and patient experiences tipped me over (including one detailed repair write-up by a Blonde haired individual, of which there are relatively few results). I also literally did not find a single negative review (of outcomes) for Cooley in all my research and I valued that apparent consistency. Procedure - Why FUT I knew I wanted FUT as I (a) already had a scar I felt could be improved, (b) wanted to maximize future grafts and survivability, and (c) wanted to minimize recovery time. I am lucky enough to have a lot of Donor and existing hair that can be used to hide a procedure. Pre-Procedure and Day of All things posted about Cooley experiences were true for me. I followed pre-op instructions for scalp laxity. I think this helped as I could feel the sides definitely loosen up, and while the back still felt tight Cooley said it was great and helped with suturing (+ sutures out at 2 weeks vs. 3 weeks). The hotel they set you up in is excellent, easy, convenient and they already know why you are there and what you need. Shuttle drivers, check-in staff, and others there were helpful and discrete and the breakfast and gym is open early enough for day of eating and a last workout. On the day of the operation we met at 7am, had a calm and not rushed discussion where any other questions I had were answered, and re-affirmed my choice of 2500 FUT + PRP/Acell. In terms of hairline we were on the same page to opt for a conservative/mature hairline though Cooley jumped straight to the need for work on the temples which he said he does not always do. This process of agreeing on this was FAST as a lot of it was bridging existing hair and the past work plus a little bit of pulling temples out/down. In terms of PRP, Cooley was candid that for me he didn't know if PRP would make much of a difference as he didn't see a ton of minituraization but (a) I'm paranoid and think there is more than there is/I have very fine hair already, and (b) I am hopeful that it will help somewhat with avoiding shock loss or speeding up recovery. I know there's no real scientific evidence to back that up, but I was willing to spend the $ on the chance it helps. I will say that to make sure you get what you need before surgery begins you should 100% come prepared with your questions. For example in my consult with Bloxham he indicated that my past FUT scar had a small area branching into the danger zone for donor and advised forking the scar near my ear. I really did NOT want to do this, so asked Cooley about it. He decided to implant 10-15 hairs in the end of the old scar as part of the procedure and end the new scar in a safer location. I do not think we would have ultimately done this if I had not asked. H/T to Bloxham for noticing it in a really thorough, caring consult. I also asked about a few grafts poorly placed in the front of my forehead below the 7CM mark we agreed to for the new hairline. He said if I was OK With it that he would remove those with electrolysis which I agreed to and am relieved about as they were definitely not natural looking. Overall, it was a good conversation. I, like most others, felt comfortable and cared for by Dr. Cooley and all of his other wonderful team members. I do think the clinic could get better about having all their pre and post op documentation organized and sent in a big PDF but that's super minor overall and has nothing to do with the in-person interactions I had. One other area that I felt could be improved is in discussing recovery times. The clinic (not Cooley himself) were fairly aggressive in terms of discussing post HT recovery periods and timeline (no redness 5 days, not visible procedure at 8 days etc). It's not that they are totally off, it's just that they are definitely giving the aggressive, "best-case" scenario in my opinion and shaded this as an absolute vs. discussing the potential ranges of recovery times based on patient characteristics. Still thus far in my case it has proven to not be too far off the mark so far (devil's always in the details though isn't it). Procedure itself From the Cooley consult we moved into the procedure. Numbing/valium etc was painless. Unlike others I don't think I really went fully under for the ENTIRE duration of the procedure, I even heard a nice little "ripping" type sound on removal, but no pain whatsoever. By 11:30 the donor was removed, there were 5-6 technicians on the microscopes, I had had PRP and he had done the few electrolysis removals needed. I stopped for lunch and then we carried on. Cooley performed all of the donor incisions, with Brandi hovering nearby, and was present for probably 90% of the graft placement. I know for sure he was doing all the immediate hairline grafts. I believe he left for a little over an hour in the middle of the procedure (basically the length of a movie), but I'm not 100% on whether he popped his head in a few times during that time or not. While he was not actively working on my head Brandi was performing graft placement and I believe Amy also worked on placing grafts. Cooley returned and was essentially there the rest of the day long after many of the other techs had left post dissecting the grafts (easily 4-5+ more hours). It was clear he reviewed and had ample time to change, correct, or ensure any grafts not placed with him in the room were to his liking. Like others have mentioned it was clear throughout the day that this was a well-oiled machine, with team members that had worked together for years (decades even). Everyone was friendly and taking a dedicated and personalized approach to the operation, and I couldn't imagine going somewhere with a doctor doing multiple ops in a day. Throughout the process Brandi was constantly checking Cooley and making sure anything "controversial" about his approach was discussed (a few graft placements here and there, reminders about how many grafts were left etc). All of this was reassuring. I am sure the reverse also happened. Ultimately for the 2,500 graft procedure Cooley was able to get over 3,000 grafts (I will get exact counts later) and we did not finish the day until a bit after 7pm, meaning I was there for nearly 12 hours. This extra time and attention, plus the grafts that were not something I had to pay extra for, all speak to his long-running record of caring about his patients and working tirelessly to get results. I am obviously grateful for this. Post Op - Healing, Pain, and Experience (Week 1) Donor got painful at the end of the day during the operation so I was numbed up again before I went home. I was obviously a bit red and beat up but it wasn't as bad as I was expecting and they had already done a pretty good job cleaning a lot of the blood off. Plus I was wearing Saran wrap + a hat so able to avoid any weird looks. On night 1 I took some Tylenol but nothing stronger--which is good because I didn't get the prescriptions until day-of for stronger meds. Cooley's post-op care uses an ATP spray + saran wrap to increase moisture and prevent any graft damage and antibiotic ointment on the donor scar. You basically spray every hour you are awake and wake up and spray every 2 hours for the first 2 nights along with taking some preventative Prednisone for swelling. I followed the instructions religiously here and I think it really helped calm redness and speed healing. On night 2 I was falling back asleep pretty quickly so it didn't feel too onerous to keep getting up. For sure it kept the itchiness to a real minimum in the first 6 days. I went back the next morning for a post-op clean and got the all good from Dr. Cooley. During this cleaning Amy took time to answer any questions I had about the next week of care and was patient with what I am sure are the same questions everyone asks. In terms of the documentation they gave me to follow, I actually think it could have been a bit more detailed. It wasn't that it was bad, but I felt like an "FAQ" or just more exhaustive detail would have helped. For example, I asked about caffeine / alcohol / ibuprofen which were not listed (Cooley says moderate amounts of both are fine), and it doesn't give you much about how to sleep (when can you sleep sidweays on the grafts) and so on. To give you a sense of how smooth this was, I drove almost 7 hours home the very next day, which was completely fine and painless. Overall I found the post-op regimen easy to follow, the spray and saran wrap seemingly very effective even if I did probably use it too quickly/aggressively to try to get it through the native hair as I ran out a day or two earlier than I think the clinic expects. One curious thing with post-op care from the clinic is that it seems that Cooley's overall instructions,are more aggressive than many other docs (like the timeline to shampoo (next day) and return to regular shampooing (7 days) . I'm sure this is because Cooley is confident in the healing/quality of the grafts and incisions etc and has refined his approach over time but it does make me just a little nervous when looking at the instructions online from so many other places that are much more conservative. But he's my doc and I'm in his hands and so far so good. On night 3 I slept poorly but not really due to pain, I think I just missed exercise. On night 4 and 5 I had more pain when putting the back of my head on pillows (I slept elevated with an inflatable travel pillow partially inflated these nights to help with any potential swelling) and I did take a valium one night and the other pain killer + tylenol combo prescribed drug the fifth night. It almost felt like the donor was a little more stretched these two nights with whatever position I could find that didnt have too much pressure. If this continues I'll call the office to make sure it's normal. Some posters here have mentioned this as the return of nerve sensation but I'm not sure. Otherwise I have had some very very minor swelling which made me break out some ice on my forehead and eye area a couple of times and take ibuprofen periodically as well. It was never uncomfortable or especially noticeable to anyone else however. Last point, I am using the Hair Shake protein. I don't really think it'll do much but I've used protein powder a lot anyway so I don't mind and if it helps at all with speed of growth or minimization of shock-loss, then it's worth a couple months of it for me. I am not planning on using it long term and no one at the Cooley office actually mentioned it directly despite having it stocked there and having it listed as an optional part of the post-op procedure. Post Op Appearance - First Week The scar in the back is perhaps slightly visible with wet hair (first 3-4 days) but completely hidden with normal dry hair. As mentioned it wasn't giving me much trouble the first 3-4 days, although of course everything felt really "tight" there. At night or with pressure on it day 5-6 it actually has felt a bit worse and I've taken some of the prescribed meds just to make sure I get decent enough sleep. We will see of course on final healing and appearance, it is early days. Redness in the recipient has subsided each day, and now at day 6 is not bad at all. It's probably worse in the pictures than in real life. I am fairly pale skinned but had a deep tan going which some say can help. There is definitely scabbing, it is super mild/light and looks like when I return to regular shampooing and rub the grafts a bit it will easily flake off and be gone within the 7-10 day timeframe that they gave. In any case, it's really mild and not that noticeable. I have used their given shampoo and started leaving the conditioner in a bit longer which I think has helped. I have a couple spots of dried blood left but overall it's pretty clean and I haven't noticed anything remotely like grafts falling out. Really, not even many/any hairs yet. The kicker here for me is that I 100% had to hide from the world during this time because I was (a) spraying every hour and (b) couldn't style my existing hair for fear of touching/disloding existing grafts. So you could see the grafts taking hold and small stubbly hair, plus weird caked native hair that was a bit long already awkwardly plastered to my scalp. So all in all, a real lovely mess. Now had I managed this aggressively with a blow dryer on cool or if I was more comfortable touching and styling my scalp in this period I am sure I could have made it look better but I didn't want to take any risks. On Day 6 I did a bit of finger styling and with my existing hair I can make it look decent (see 1 of the pictures). Decent is not invisible however. The temples are harder to disguise and any close inspection things are definitely still visible so I feel I am very much still in hat land. To be fair, my wife says it's pretty hard to tell unless you get up close and personal already. We will see if my extended family at Day 11 notices anything. Summary of first week So far the difference from my first procedure has been remarkable. Basically instead of an immediate "oh shit what have I done" I felt more like a "I'm already looking better than I expected 12 hours later. and everything is going exactly like they said" It's nice to already feel like I made the right choice. The recovery seems to be text book according to their expectations, but I most certainly don't want to be out and about without a hat yet as it would be noticeable. The things I am worried about are (a) appearance at 10 days and masking it, (b) avoiding shock-loss as no work was done in the middle of the frontal third, and (c) continued management of the donor scar pain. All the rest is of course the standard, hurry up and wait, concerns about linear scar etc that we all have but if I can avoid shock loss I feel comfortable looking like I did for 6+ more months. I hope this is helpful and of course any feedback on the pics and actual quality of the work is welcome as well. Again, apologies on the photo quality I will get better ones from clinic later. I will try to post periodically as I hate the posts where people disappear but I also intend to try to live my life and not obsess over the progress over the next few months.
  7. Hi Folks, Long time lurker; My very first post here with the intent to share and contribute based on my upcoming surgery in India with Darling buds and most importantly “ My results “ in the next few months. I feel morally obligated to contribute at least something back to this community that offers : A worldwide network of HT experts, reputed Senior members sharing invaluable info, Top rated HT surgeons positioning their point of views and most importantly "real patients sharing real stories". Background Male in mid-thirties from Canada; NW 3 - Less/More. Past 6 years were dark and depressing. Living in a fool’s paradise; using Toppik daily assuming everything’s fine but somewhere at a deeper level; it continuously bothered me. Finally in 2019; I made the big decision to get a HT. This website is the main reason as to why I was able to solidify on my research, move ahead with a concrete decision and was able to find one of the best doctor (just being positive here) as per my checklist/strict criteria. Special thanks to the Creator of this website – Kudos to the brain that kicked off this humanitarian initiative as it continues to educate millions of potential patients like myself. Why Darling Buds India (I guess they changed the name to 5 Rivers Hospital ) This piece takes forever to decide especially for someone like me who spends gazillions of hours on the Internet/YouTube/Forums. I was always skeptical about giving my Head to someone to be operated; so consulted with many Canadian, American, European, Indian and Turkish clinics. Many reputed names like Dr. Rahal ( Known as the hairline king from Canada), Dr Acar ( Cosmedica Turkey), Dr. Erdogan ( Turkey), Aestimed ( Turkey), LA Hair ( USA), Qunomedical ( Belgium & German clinics), Dr. Cinik ( Turkey) and the list goes on……………………………………………. but None fitted my checklist in it's entirety reflecting 8 Key deciding factors that was prepared after extensive research for years 🙄 : 1. Max cost under 10,000 CAD ( 7500 USD ) for 3500-4000 Grafts to be able to achieve maximum density in my case. YES, I decided to find the best treatment within this range. IMHO, paying this much should suffice in getting you a world class, still affordable HT in today’s age with advanced Technologies, Globalization, the power of internet and competitive market. It's costing me around 9000 CAD ( including some expensive flight tickets) with Dr. Bhatti which seems adequate for the reputation he has or rather a steal ( not sure - will tell later) If budget wasn’t a constraint, I would’ve booked Dr. Rahal ( Canada ) who is local to me OR Dr. Baubac ( Alvi Armani USA) more importantly to save myself from the hassle of flying 20 hours one way, then drive to a different city, book a hotel for a week, apply for a visa, Take few weeks of vacation from work etc. Dr Rahal charges 8 CAD per FUE, most other clinics would cost the same in N. America for FUE Treatment. It’s costing me around 2.40 CAD with Dr. Bhatti ( includes all international/ Local flights, Visa, Hotel, Food, Cab etc.). If you compare Dr Bhatti's fee with his peers who fall in the same reputed arena of global doctors, I think most would sign this off as a great offering for hair loss patients globally. Eugenix quoted around 4 CAD per graft but it was for DHI method. They produced some great results lately and they are the inventors of DHI which is now adapted globally; goes to show that they are researchers also - very impressive. As of 2019, I think Dr. Bhatti and Eugenix should be compared as top players if India is the selected destination for your HT Journey ( My comparison below) I almost finalized Eugenix over Dr. Bhatti but then based on my research, took a U Turn : Eugenix positive aspects: 1. Biggest is DHI - OUT/IN grafts within minutes. Definitely better method as compared to Traditional FUE . I could only find positives so far, no negatives on DHI. It's hard to logically beat DHI method with traditional FUE; so no doctor should even try it IMO. I wish Dr Bhatti would offer DHI to his patients by now ☹ 2. Clinics are located in major cities like Delhi and Mumbai. No need to drive / fly again from major airport all the way to Chandigarh. Eugenix Negative aspects: 1. Some patients mentioned that they were taken for a ride. Eugenix Docs prey on foreign nationals; after or during mid surgery – Dr. Bansal asked for 500 more grafts payment as required and payment must be done during the middle of the operation ( insane); also no breakdown/reasoning was provided in the end. On the contrary, Darling buds has returned some fee to few patients to their surprise which is a classy act of ethical business in my opinion (hard to find) 2. Eugenix costs are almost double than Darling buds( quite expensive for many) but anyways DHI is more costlier than traditional FUE globally and if results are better with more graft survival rate, most patients wouldn't mind paying more. 3. Eugenix is run in a satellite office format, more than one location and hard to get a hold of prime doctors - Dr. Sethi and Dr. Bansal where as Dr. Bhatti provides a peace of mind with one location, one clinic, one doctor who is also the owner of that entire facility with 15 good staff members well trained under him in a peaceful non polluted city near a hill station. #3 was a critical factor in my decision to go with Dr. Bhatti In short, I would’ve loved DHI for best results but I settled with FUE for now Note: Out of thousands, This site recommends ONLY 2 surgeons from Turkey, 7 surgeons from India and 1 from Canada ( I was surprised to see only Dr. Rahal in the list, yes Hasson is there but they're again advocates of FUT ), so HRN really helped me short list 10 surgeons before making the final call 2. ONLY FUE for ME – My heart said a Big “No“ to a linear scar; doesn’t matter if some Doctors persuade you with somewhat genuine reasoning's to avoid FUE such as : FUE provides Less density, FUT offers more grafts and saves Donor area as untouched for future sessions, FUE is a blind process etc. Dr. Feller and Dr. Soni ( Medispa India) seems like the two biggest advocates of FUT over FUE and I agree with some of their explanations as it sounds logical. Dr. Soni really pushed me to sign up with FUT and said his scar technique is different. Promised that he will close it in a way where almost no scarring is visible . It was tough buying into that argument, additionally recent negative reviews about him and I finally decided to brush him aside at that point. 3. Doctor MUST perform the operation (No technicians) – I could only find someone as reputed as Dr. Bhatti who performs 80% of the procedures that includes Hair trimming (to feel your hair ), Anesthesia, FUE Extractions with motorized punch and Incisions. In Turkey where I was almost sold at one point, all operations are run by Technicians. Not a Plastic surgeon, no educational background/ competency level ( it's scary as they're known as the butchers of HT industry) I wish Dr. Bhatti would implant the grafts too ( not his nurses) for extra cost but I guess it will be a tedious job for a busy surgeon to sit for another 4 hours or so ....... Am I asking for too much 4. World class facility matching North American standards : with Heart rate monitoring, proper blood tests, blood pressure check up, spotless , Face coverings during entire operation and sterile environment. 5. Super microscopes and Magnifiers is a must ( Most Turkish clinics operate with naked eyes, when I asked they tried to sell me bull *&**** ) This is extremely important during all 4 phases of operation : Extraction – To make sure proper gaps are left in between grafts in the donor area and get the right angle before using the punch. Sorting – To count how many pure singles, doubles, triples and quads ( if any ) are collected. Incisions – To ensure least collateral damage, magnifier will show 6 x scalp surface so during incisions, holes are made at the right angle, depth and only on bald scalp areas ( not where you've some fine hairs). This should also minimize some shock loss in the post op phase. Implantation - Imperative to only use pure singles / baby soft hairs in the very first few rows of hairline and Temples. If by mistake, they implant doubles – it will give a pluggy look and I would rate that transplant as 50% failed right then and there. If during implant, nurses grab a multi - haired graft, at least microscopes will allow them to revisit to find a pure single graft and then insert it in the right spot. Joe Tillman's video is quite helpful : https://www.youtube.com/watch?v=MeQ4ZvEHb7Y 6. Doctor should have a solid reputation on major forums, hair restoration network, should be well read, traveled, have some global exposure, recommended by Bald-truth, Spex and many other HT mentors like Joe Tillman. Dr. Bhatti checks all those boxes. Yes – there are some mixed opinions about him (and every other Top HT surgeon out there) but perfection is impossible to achieve; so I decided to just look at the bigger picture and go for it. 7. Detailed info, pre op care, post op care, regular contacts and supporting your patients in their hours of greatest needs is of utmost importance. Its well know that Dr. Bhatti, Shera ( his rep) , California would contact their ex. Patients regarding some concerns, would stand by them and not disappear. This was impressive. 8. Patient advisor should be genuine, honest and straightforward – So far, Shera has been awesome, friendly and taking care of all my minor/ major concerns. Always reachable, quick responses and a real time patient who has experienced the same Doctor few years ago first hand. In the long run, it helps to have a contact like him for small chats if need be. I will continue to share my Journey with Darling buds and also, highlight If any red flags are there. So far, I’m just one naive internet researcher in this field who talks based on theories and hypothetical situations, I don’t have any practical experiences yet. Assuming I've made a good decision by choosing this clinic (over others) and trying to keep a positive mindset hoping I will be in good hands is the only thing I can do now. One Sr. Member said it wisely – “For Dr. Bhatti and his staff ( or other clinics) 18th March will be just another day with another patient like thousands came before and will come after, but for a patient who’s been researching on this constantly day/night, it’s a big life event and 18th is one of the most important day of his life after which either he could regain his lost confidence or could loose it forever “ After all, handing off your head to someone for the entire day isn’t one easy decision I’ve seen members here supporting each other against doctors if results aren’t satisfactory. That speaks volumes and the main reason as to why I joined here to gain support from my so called “Anonymous hair restoration family” Dr. Bhatti's hairlines were talked about – not too dense? Any suggestions? Should I revisit this with him ? I don't want a sparse hairline but Not sure if this was an old issue (one -off) Also, I’ve not met Dr Bhatti for any F2F consulting yet or a video consultation, plan is to meet him a day before my procedure. So far, Shera is my driving force. I’m hoping for a life changing experience (like many others), regain my lost confidence and I always say “ Hope “ is something that brings us to these Doctor’s doorsteps. Yes finance and reviews are important aspects but we all hope to be treated in the best possible way during our special treatment day. A little daunting for me to fly all the way, get operated in a surgical room, holes in my head but I’m collecting all the courage in this world to get this done. Shera is helping like one true Samaritan If some of you are able to read this completely, my apologies for such a long note but this is the only forum where I am able to write everything anonymously and vent out if need be. My Journey to be continued……………………………………………………………………………………............................................
  8. Hey everyone, I'm about two days out from my ~2300 graft FUT procedure with Dr. Konior. As often happens with Konior, he initially quoted me 1500 grafts but wound up going all the way up to 2300 to pack everything in more densely. It was one of the smoothest and most painless medical experiences of my life, and the whole thing took about 12 hours. I'd take a hair transplant over getting cavities filled at the dentist any day. I'd like to start by thanking the past Konior patients who have documented their procedures so thoroughly. Spanker, Reyes1, SamSpade, and the various Matts (among others) posted incredibly detailed threads that helped make my choice of surgeon very easy. I hope that I can continue in their tradition with another well documented write-up. Pre Surgery I was 28 and probably a NW2.5 or 3 prior to this surgery, and my main goal was to restore my receded hairline and fill in the temples. I've been on finasteride and minoxidil for several years and they've definitely slowed things down, but there are a few spots that have slowly continued to thin (including in back...but it looks worse in one of the below photos than it really is). I plan to continue both meds for the rest of my life, and will likely have additional "tune up" surgeries down the line to maintain what I have. Dr. Konior actually suggested a low dose pill version of minoxidil for those who find the application of Rogaine to be tedious (I only apply the foam once per night because it's such a pain in the ass). I spent months reading about hair transplants and researching doctors until I finally narrowed it down to Konior, Rahal, and Hasson (I had already decided to stay within North America). There's no question that all three are hairline masters, but there were a few things that stood out about Konior that steered me in his direction: 1. His relative conservatism and focus on long term strategy would be a great check on my own desire to be as aggressive as possible. 2. If you look at his cases, it's pretty clear that he is often able to do with 1500 grafts what most surgeons need 2500 or even 3000 grafts to achieve. Konior's ability to make every graft count really speaks to his artistry and perfectionism, which is of course another big advantage for young patients like me who need to use every single graft very judiciously. 3. He performs one surgery a day and as others have pointed out, does virtually the entire surgery himself -- donor extraction, lateral slit incisions, and graft placement. I do think one or two of his techs placed some of the grafts, but he supervised them meticulously and I overheard him tweaking anything that didn't look perfect. This isn't to say that technician-heavy clinics are inherently flawed -- many techs at other clinics have years of experience and are truly skilled workers -- but ultimately, I felt that a tech-heavy approach would add another level of risk that I'd prefer to do without. 4. Konior's year long wait list and relatively high price speak volumes, especially since he does minimal marketing and is pretty selective when taking on new patients. These things may seem like "cons" at first glance, but over time I came to see them as major "pros." A hair transplant is something that will affect your appearance for the rest of your life, and I knew that 10, 20, or 30 years from now I'd care a lot more about having picked the right hairline than saving a few thousand dollars. More often than not, you get what you pay for -- and plastic surgery is not an industry where you want to look for a bargain. 5. Konior's immediate post op photos have a really clean and distinctive look, with very little blood compared to most other surgeons' graft zones after surgery. I've always found it very satisfying to look at his post op photos and notice the precision of the graft angles and placement. The Surgery One thing that isn't often discussed on here is the feeling of oh shit that kicks in as your surgery date approaches. As soon as I realized my surgery was a month away, the reality of the situation hit me hard: was I seriously about to fly to Chicago and undergo surgery just to give myself better hair? Eventually the excitement started to outweigh the fear, but it was for sure an emotional rollercoaster until I finally arrived at Konior's office at 6:30 AM. Once I checked in with the doctor's staff, I finished my paperwork and wrote down my lunch order. Everyone was very kind and conscientious, and at around 7 the doctor came in to discuss the surgical plan. As Dr. Konior and I settled into our initial conversation, I immediately felt my anxiety begin to fade. He really took his time to discuss his hair loss philosophy, crack a few jokes, and field a few questions that I had. He seemed totally relaxed and in no hurry to push things along, and by the time we moved on to drawing the hairline I felt totally at ease. Helping a patient feel comfortable during that first meeting is a genuine, underrated skill and it really helped to set the tone for the entire day. He then had me draw my version of a hairline -- I wanted it lowered just a bit with my temples filled in, and I asked him to pack it as "densely as he thought would be ethical". Konior took one look at the hairline I drew and said something like, "yep, I know what you want" as though he'd seen it a million times before. He then spent about 45 minutes drawing his own version of the hairline, erasing and re-drawing parts of it over and over again until he thought it was perfect. He took pictures from several different angles while doing so, and every now and then he'd pause to stare at my hairline the way a painter looks at his work while trying to get those last brush strokes just right. It was easy to see how Konior's artistry and surgical precision are a super effective combination. When the doctor handed me a mirror to look at his proposed hairline, I was ecstatic (the hairline he drew is visible in the pics I've attached). I had worried that he'd push for something more conservative, but what he drew turned out to be pretty much exactly what I'd hoped for. So I basically told him I wouldn't change a thing and the process continued. I felt even more relief when I learned that he would only have to shave a small portion of my existing hair to create the new hairline. I've seen a lot of Konior cases where patients went for the full shave, and I really hoped I wouldn't have to go down that route and thus experience a much longer "ugly duckling" phase. When he wound up just shaving a few useless miniaturized hairs in front, I felt pretty confident that in another week or two I'd be able to cover up the work without wearing a hat. As someone who wanted to get back to work and my social life as soon as possible, this was a HUGE weight off my shoulders. With my last major fear assuaged, I was genuinely excited to get started. They gave me some valium and had me lay face down while the doctor got ready to remove the strip. I have a pretty low pain tolerance and a very strong fear of needles, but I have to say that the numbing shots were the least painful shots I have ever experienced. They used some sort of vibrating device on my skin next to the injections, which made the actual shots feel like nothing. I barely noticed when the strip actually came out, and then they gave me a bathroom break and got ready to start the incisions. I was given more valium throughout the day and for the most part I felt restful but awake. I dozed off a couple times and woke back up mid-snore, but for the most part I just chilled out and focused on staying perfectly still while Konior and his techs did their thing. Occasionally I'd feel some soreness in back and they'd have to re-numb me -- the re-numbing shots were actually a little more painful, but that's probably because I waited too long to ask for them (the doctor was really in the zone so I was hesitant to interrupt). As mentioned earlier, he did have two techs present during graft placement but I'm pretty sure he placed most of them himself while the techs would pass him the grafts that had been dissected. It definitely sounded like he placed the most important grafts himself, such as the 1s along the hairline. At around 6:30 PM, the surgery was finally complete. Konior and his team put in roughly a 12 hour day in total: 2 hours of conversation and planning the hairline, followed by 10 hours of performing the surgery itself. Compared to what I was expecting, the entire day felt like a series of best case scenarios -- I got exactly the hairline I wanted, felt close to no pain whatsoever, and was able to keep enough existing hair to (hopefully) cover up the procedure after another week or two. Konior's staff was nice enough to give me a ride to the Comfort Suites that evening, which I really appreciated because I was not looking forward to interacting with strangers in my post surgical state. In fact, I didn't end up having to interact with anyone -- the Comfort Suites have a back entrance you can open with your room key, and my room was right next to the back door. So yet another small anxiety was eliminated. I don't think I could have asked for a better experience. Immediate post op pics are below (I circled a small mole in the final pic for added perspective):
  9. Hi, all. I haven’t posted here much since my last procedure in 2015, but happy to share an update with everyone about my latest surgery. As background, I had my first transplant with Dr. Robert Niedbalski in June 2012. I was a NW 2-3, and he transplanted 1,450 grafts via strip to form a lower, but still recessed, hairline. I wanted a flat hairline, so I had a subsequent procedure with Dr. Rahal in October 2015, when he transplanted 2,200 grafts, again via strip. The hairline design was great, but the right side grew in a little sparse. Nothing awful, and I could’ve gone without addressing it, but I wanted to go back to the well for a fuller hairline. I just turned 36, BTW. I've been on Avodart and Propecia for six years and essentially no longer lose hair--my loss is fully halted. I use Rogaine but discontinued before surgery per instructions. Links to thread about my earlier procedures are here: https://www.hairtransplantnetwork.com/blog/home-page.asp?WebID=2858 So, last week I drove from Seattle down to Portland for a third procedure--this time with Steve Gable. I’ve known Dr. Gabel for about five years and have really looked forward to working with him. He’s a precise, thoughtful guy, and I knew he’d be a great choice to refine my results. I left Seattle at 3am to check in at Dr. G’s clinic at 6:30. His clinic just moved to a brand-new facility, and it’s gorgeous--two ORs, a lovely lobby, and overall just a great, clean, attractive space. We sat down and discussed hairline approach, and agreed that we weren’t going to lower the hairline. I didn’t need it, and lowering it even a few millimeters would mean that I’d need to get in again to spruce up the density, and I wanted to be done. (My hair is still very dense and I want the hairline to match, so I don’t want to get stuck in a loop of chasing density in an ever-lower hairline.) We agreed 1,000 more grafts across the hairline--and concentrated in the right side--would do the trick. The procedure was very smooth. Strip excision took about 30-45 minutes and I didn’t feel any pain. Dr. G excised part of my prior scar, which ran from just inside left ear to above my right ear. He didn’t need to run all the way from end-to-end on the scar. He closed the strip with staples, which I hadn’t had before; he thought they’d do a better job at holding the tension and has had good luck with them recently. Once the wound was closed, he did the incisions--nothing eventful, and nothing painful. I didn’t bother to watch TV, but just spent the time chatting with Dr. G and his techs. If you haven’t met him, he’s a really personable, chatty guy, which was engaging during surgery. I had a Valium before surgery but didn’t feel it much, which was fine; I’m not the anxious type and was perfectly relaxed during surgery. I seemed more comfortable than my previous surgeries, but that’s probably due in part to the fact that it was fewer grafts so the sit was shorter. When we got to placing grafts, I’d estimate that Dr. G placed about 50%. He places grafts in all his procedures, and I was his only patient that day, so there wasn’t any need for him to pop out and attend to someone else. If you haven’t gone through a transplant before, it’s really disconcerting when you feel like a surgeon disengages from the procedure once the incisions are made and just turns everything over to the techs. Dr. G was omnipresent and was in the room for virtually the whole procedure. That’s not the norm. Of my three procedures, this was the smoothest and easiest. That’s no knock on Niedbalski or Rahal, but a huge compliment to Dr. G and his staff. The post-op materials were first-rate and included a calendar specialized for my surgery date so I didn’t have to count post-surgery days. That’s a nice touch that I hadn’t seen before. The recipient area was also very clean--virtually no blood or scabbing. They carefully washed it the next day and showed me how to shampoo. Great post-op hand-holding all the way, and Dr. G responded to an email same-day later in the week. Pictures are below, and obviously there’s not much to report in terms of growth. My scabs are falling off, but the recipient area is hardly noticeable because although it was shaved, I’m combing my hair forward. Hard to cover up the staples, but they’ll be out in another week. I’m definitely experiencing a lot of tightness in my donor area given that it’s been excised three times, so I’m trying especially hard to keep my head tipped back to keep tension off the scar. I’m a little concerned about a widened scar given that it’s my third strip, but I’ll keep everyone posted as that progresses. Please fire away with questions/comments; I’ll be checking in every day. Thanks! When reviewing pics, please keep in mind that the after pictures are both immediately post-op and then the next day; my hair is wet in both. Remember that the transplanted area contained both native hair AND previously transplanted hair, so the density will be much, much higher than the number of grafts you can see.
  10. Hello Everyone, After 4 years looking at this forum and others, I finally took the plunge and ultimatly decided with Dr. Rahal seeking to obtain those amazing hairline we see in his patient pictures. Adrian was superb in helping in coping with this surgery and explain in detail what was going to happen. The procedure was over after 7hours and I must thank his wonderfull staff for putting up with me. Thank you the Alana`s team! The initial estimate was 2500 then after the consult the Dr. bumped it up to 3000. With existing hair I ended up with up to 75graft/cm in front and: 642 - Ones 1975 - Twos 789 - Threes 19 - Fours Total: 3425 grafts/ 7035 hairs. Dr. Rahal is a true professional and really put me at easy during the procedure. He checked up on me the whole time and was allways a phone call away. So, I expect amazing results and will be updating this album. Cheers. Portugal25
  11. If you live in Canada why not consider Dr. Rahal, H&W, Feller and Bloxham aren’t that far either. Given that you will likely progress to a norwood 6 you may want to maximize grafts by going strip first. The price of strip is comparable to FUE.
  12. Crown started thinning 4 years after the HT but I was 25 years old when I had my HT and was warned by Dr. Rahal that this would happen. Dr. Pekiner assistant mentioned SMP but I am still waiting for their assessment and I haven’t yet researched about SMP.
  13. Hello, It`s been 11 years since my HT with Dr. Rahal and during this time I didn`t take Propecia nor Minoxidil or anything else. https://bellicapelli.forumfree.it/?t=26561968 Dr. Rahal predicted that in 5 to 6 years my crown would fade and he was right. Today I have a almost bald crown as you can see in the images. I hope to go ahead with a second HT very soon but I have a short donor area so I might need BHT to compensate. Therefore, I am talking with Dr. Kaan Pekiner because of his world class results with FUE. Dr. Pekiner has done surgeries with more than 1100 grafts from the beard for added density with great results which might be just what I need. Will keep everyone posted when I make the move for my next HT.
  14. Hey Guys, First of all thank you so much for all the helpful info everyone posts here, in 2007 i had a FUE HT for 2000 Grafts in the front region mainly the temples(but I think it was less) by Dr Alvi Armani, I am aware that the feedback is not the greatest but I gotta admit he did a job that I was very happy with tbh. The only problem that I am realizing now that the hairline was a bit aggressive plus you add the fact that I got the HT when I was 26 which I should not have done provided that I was going to continue losing hair; now that my natural hair is receding, I am starting to notice very thick black hairs (transplanted) at the beginning of the hairline and temples that does not look very natural to me at least, I came clean with my GF and told her I had a HT and she still does not believe i did and no one has ever noticed anything. My question to you guys is how would I get rid of the transplanted hairs and would I be able to transplant them back where they came from? I would be okay if I am not able to transplant them back but I just want to get rid of the plugs. I had a consultation with Dr. Rahal clinic (Aaron in Toronto) last week and given my light research I went in there under the impression that I would be able to to remove the hair using electrolysis or even small punches and transplanting it back in the donor area it came from however the rep was surprised to hear and said that I can probably do laser to get rid of it but I am not sure I want to go to a beauty clinic down the street and let them play with my hair. I am also on 1 mg of Propecia on a daily base, feedback is very appreciated.
  15. Thank you for putting things in perspective again, truly appreciate your perspective here, I am not doing anything rash, all in all things still look good and I will certainly approach visit with Dr. Rahal with an open mind. I am trying to be a bit wise here and think about my appearance from a long term perspective, to try and put things in perspective for you guys, i did not get a huge amount of grafs (less than 2k), so at this point I would like to remove the thick spaced out hairs that are at the very front that are not too too far away from my real hair line anyways ONLY IF there is no downside to this procedure, I am also trying to book with Hasson and Wong for a consultation to get a second opinion.
  16. I had an FUE procedure done in 2018. I did 2000 grafts which resulted in 4000 hairs to the recipient area. I also did PRP injections at the recommended intervals. I did three consultations with Dr. Rahal and took over three years to finally decide to go ahead with the procedure. I am a very thoughtful and prudent person, I did tons of research, watched countless YouTube clips and read everything I could. My procedure was eight months ago now, I wanted to wait until I had most of my expected results to leave a review. So the truth is the procedure is fairly easy and very minimal pain. I stayed at the Rahal clinic and the staff were amazing, very reassuring and knowledgeable. After the procedure you do look very strange for a little while. Half my head was shaved and the recipient area was also extremely noticeable. I followed the instructions for recovery exactly and had minimal swelling and no issues at all. Best thing to get for recovery is a lazyboy chair that reclines, trust me, worth every penny for those first few weeks. For my results the most important thing for me was that it looked natural.. . . The results, take a while to see and your impatience can get the better of you. I was constantly worried it wasn’t growing in quick enough, thick enough, or how I wanted it. You have to trust in the process and be patient, which was tough for me. My results now are beyond my expectations. The hairline is exactly what I wanted and Dr. Rahal and his team are masters and artists. It looks so natural and thick and no one could ever tell that I had anything done. When I was doing my consultations, Dr Rahal’s team told me that most patients said after the procedure that they wished they had done it sooner. I thought this was something they just said to sell me on the procedure. I can tell you now, I should have done this years ago. I can’t stop looking at myself in the mirror, I never want to wear hats, I love my hair line and the results. Seriously, thank you Dr Rahal, the results are so spectacular! Some family members that were hesitant for me to get the procedure done and worried about the aftermath, have all now said how awesome it looks and what a great job Dr Rahal did. If you are thinking about a hair transplant and Dr Rahal, I can’t say enough about his clinic. It’s a big decision to make and a huge commitment, mine took me three years to finally do it. However, once you do and follow his instructions, you will be very glad you did! Just take the first step and do it!
  17. Btw I have booked a consultation with Dr. Rahal on the 22 nd of Aug.
  18. I am a big believer in Dr. Cinik work as in fact I booked a surgery with him on 22 August and have been waiting for the right time and right surgeon since my hairline repair with Dr. Rahal back on August 2011. I am quite disappointed that Cinik wasn't recommended here. In my opinion and experience in Turkey HT industry, he is way better than Dr. Resul Yaman in terms of reputation and documented results. I think voting should be in poll basis and not only in some few comments from members with agendas. His results speaks louder that words and his technician team is not part time basis like other clinics. Its just some members are freaked from some doctors who do not charge per graft. Anyways I will posting my results in monthly basis soon. God bless you and best wishes in your future Hair Transplant surgery.
  19. I know this is an old thread but I'm looking to find out which doctors don't require shaving the recipient and donor sites. I'm in NYC but would consider traveling to get to the best doctors, as I've seen many suggest on these boards. I had an online consults set up with Dr. Rahal and I emailed them this question but they haven't responded. It looks like, from the posts of others, that Rahal does require shaving. I met with Dr. Dorin and he doesn't require shaving either. I have a family member who got pretty nice results with Dr. Dorin and didn't shave his donor or recipient site. Dr. Dorin suggest FUT, since I don't have a super dense donor area. But, he said I would need two surgeries to get a dense hairline, that's why I would like to try Rahal or someone else to see if I can get a dense hairline with one surgery. He suggested 2000 grafts. Thanks in advance for any replies.
  20. Look, I see what the patient is talking about. This is a great result considering where he started from, but it's true that the density in that corner isn't the same as the hair behind it. BUT, I think we need to acknowledge that this kind of result is really common, even among the best surgeons, when a patient is starting out where this guy did. Gabel was building a new hairline on a patient with fair skin and very dark hair, and transplanting into slick bald areas. That makes it incredibly hard to get something that passes for full density and doesn't show scalp, and it's pretty tough to do in one pass. I had a surgery with Dr. Rahal that built a hairline just like this, and one side was relatively weak and showed scalp almost exactly like this. It was not even close to a failed surgery or a poor job; just the reality of the limitations of coverage you can achieve in one pass. This is very good work, and I would be pleased. But it's also totally reasonable to want to do a second pass and beef up the density in that corner. It's what I did, and it turned out great. We just need to remember that a great surgery can still leave some work to do--building a new and dense hairline on a patient like this with minimal loss takes time.
  21. Sorry to muscle in on someone else's thread, but I noticed this in your signature, @HARIRI: Plug removal + Strip scar revision - Dr. Ali Karadeniz (AEK)- May 23, 2015 Plug removal + 250 FUE temple points- Dr. Hakan Doganay (AHD)- July 3, 2013 Scar Tricopigmentation- Dr. Koray Erdogan (ASMED)- May 3, 2013 2500 FUT (Hairline Repair)- Dr. Rahal- July 26, 2011 Given your comments here, were you not happy with the plug removal and strip scar revision Dr Karadeniz performed? I ask because I have issues with old transplant scars that I would like to have sorted (see below): ... and I really have no idea which way to go.
  22. Hey guys! It's been a long time since I've been around these parts, but my ten year post-op HT anniversary was fast encroaching, so I figured I'd provide up update on how things are going. When I had my surgery back in 2009, there weren't many (if any) people who had posted photographs of how a modern HT looked ten years out, so I'm happy to be able to give back to this community that helped so much on this journey. I think you'll agree that the results, after a decade, do, indeed, stand the test of time, so hopefully this gives a boost of confidence to anyone new who's considering taking the plunge, but might be worried about how the results will look in the future. Dr. Rahal did a lot of pre-planning on my scalp, and he transplanted donor hairs between native hairs where he thought future baldness would occur, so I think this careful approach is a good thing to consider when picking a surgeon. After doing in-depth research for several months on these forums and consulting with knowledgeable members who previosuly had surgery, I committed to a date and locked in my HT for May 7th, 2009 with Dr. Rahal in Ottawa, Rahal ended up meticulously transplanting 3,481 grafts into the front and temple point areas of my scalp, all the way to the half-way point of my head. Here's an excerpt from my latest blog post: Suffice it to say, I am ecstatic with the long-lasting results. Dr. Rahal really did a top-notch job! Here are a couple of shots showing the sorry state of my scalp before surgery back in 2009: And here's how my Hair Transplant looks ten years down the track. (Photos with both long and short hair): I have posted a more detailed blog and more photos at the link here, if you'd like to check it out: https://www.hairtransplantnetwork.com/blog/journal.asp?CopyID=11222&WebID=1200&ProcID=3614 And Here is my original thread: https://www.hairrestorationnetwork.com/topic/6198-manes-12-month-results-dr-rahal-3481-grafts/ Any questions, ask away!
  23. Hello Everyone, Many of you may know me formerly as 'literalno'. I want to preface by saying that username was made in complete negativity before I knew anything about hair transplants and what they can do for people. I was aimlessly searching for answers to my fears associated with propecia and stumbled across a particularly unsightly before/after ultimately assuaging me from ever becoming one of "those hair transplant guys"; hence literal(ly)no(never). I decided to make this thread around the 6 month mark ( I am now a little closer to 7) to promote good vibes for the second leg of the process since I am quite frankly not at my end goal, but very optimistic for what should be the most productive leg of this often tumultuous journey. Much of my skepticism stems from how my hairloss occurred in the first place, and the measures I have taken thus far to fix it. It started very suddenly a few years ago during a rough time in my life. I was going through a tough period and the stress seemed to spur its onset seemingly overnight. I knew what had happened, but everyone around me obviously assured me "its all in your head" (yeah right). About two years ago I was at my wits end before coming across Dr. Amaya Prasad's "Hair Regeneration" treatment in New York (this guys should honestly be put in jail for making these claims, complete snake oil). This miracle injection featured A Cell AND PRP (WOW) as he claimed it halted and in some cases reversed hairloss all together. I was sold and flew to New York within a month, paid the $15 000 up front, got the injection, and slowly but surely thinned some more only this time more rapidly. By a few months time, I knew it was failure and I needed to try something else. Next thing I know I'm on a plane to Boston getting A Cell + Adipose Derived Stem Cells injected into my scalp (I have the lipo scars to prove it) and finally my hair would be saved. Of course, this was not the case, however the only saving grace was that the Dr. in Boston kept recommending finasteride. It took my a few more months to finally bite the bullet and get on the drug. Been on it for about 2 years, with a brief stint of Dutasteride until my doctor felt uneasy about that one, and I halted everything to a snails pace at long last. Of course after all of these experiences with Dr's who "have my best interest in mind", I remain skeptical of everyone and everything until I am proven otherwise (on my own scalp that is). Finally deciding to get a hair transplant was not a task I took lightly. I got to the same point as everyone on this forum does, an inflection point where you choose to suffer and wear hats 24/7, or take a step towards fixing the situation as scary as it may seem. I researched thoroughly for about a year, combing through result after result, and was conflicted between Hasson and Wong and RAHAL. I was able to meet three Rahal patients before my surgery, and the results spoke for themselves. There was also one bad H and W result floating around that ultimately confirmed my choice, and I chose Rahal and FUT to maximize my yield since I am young and want to conserve as many grafts as possible. I was assured during consultation by Sita, some of you may know here here, that Dr. Rahal has close to 100% yield and I believed (and still believe) her words. I don't want to go into details about the surgery itself as I plan to do a big one year post to look back on the last year, I hope in fondness. There's really no point in delving too deep into the minutia of anything until at least that date. It could have been the best time of life or not but that doesn't change the only thing that matters: the end results. I would like to bring attention to a few concerns I've had along the way in hopes of getting some feedback from members who I'm sure have shared my sentiments at some point. I was grafted at approximately 40 grafts/cm squared (roughly 70+ hairs per cm). In my opinion, this would provide me with the coverage I am after, however after my 10 hour surgery, Dr. Rahal did mention it may look thin in some instances. Though I appreciate the honesty, it did get my mind spinning especially after what I had just endured moments before. I reached out to Dr. Nadimi at around 3 months to get her opinion on what that may look like, and her feelings were quite the contrary as she assured me that in the area I showed her, 3000+ grafts would indeed provide a pretty dense result. This may simply be a difference in opinion between the two doctors, but of course contrary information leads the mind to wander. Does anyone know or have a result similar to 40 grafts/cm and like to comment on how that appears in person? I would like point out that my reaching out to Dr. Nadimi is in no way a slight to my trust in Dr. Rahal. I would not have gone to any clinic if I did not have the utmost conviction in their ability to produce a good result. It is merely me as a patient seeking a second opinion on a matter that concerns me, and that's it. In now way does it reflect any negative connotation towards Dr. Rahal and the credibility of the clinic. Unlike many threads I've looked at, my grafts were very scabbed over within 5-7 days of my surgery. Many of the hairs had definitely released themselves from their respective follicle at that point, so I never really got to see a 'buzzcut' representation of what I should expect before the shedding phase as is common among this forum, particularly with Asmed patients. Having not seen too many similar examples, I questioned whether those grafts has survived or not, but have been assured that there is no real way to know until the final result. I've read from a few different doctors online that the visual presence of grafts in the scalp about a week after surgery is a sign they have survived, so naturally it has been on my mind somewhat. My surgery took just over 10 hours. After the surgery, the clinic's lead technician Mike commented on the procedure was like placing "9000 grafts instead of 3000" because my skin was quite slippery and as a graft was placed, the adjacent grafts would slip out. Dr. Rahal has himself said this may slightly affect yield, but other Dr.s on realself say they have never heard of this phenomenon and attribute that to poor skill of implanters. Of course, I know this is not the case at a clinic with the reputation of RAHAL, but would like to know if other patients have experienced a similar thing and how everything turned out for them? Lastly, at approximately 1month post op, I went into the clinic (I live in Ottawa) to see if Larissa (my patient advisor) could try and apply some topik to the persisting redness of my scalp as I had a few job interviews coming up (for anyone in a similar position, the redness went completely unnoticeable and was not a factorv whatseover). The topik looked absolutely ridiculous and I wanted to rub it off almost right away. She proceeded to use an alcohol wipe to hasten the process, but her rubbing was very hard and did hurt my scalp quite a lot. Obviously after looking after transplanted area with extreme care for the previous month, being SUPER, SUPER gentle the entire time, I was very concerned with whether the pain and tingling I felt would affect the grafts. I've read many times before the clinics such as Asmed and Lorenzo say not to even use clippers for the first 6 months as it could damage the area, but I'm not sure how necessary that really is. Larissa and Dr. Rahal assured me that the grafts were deep within the skin and could not be harmed, but I'm sure you can agree that any painful sensation on a newly grafted area is worrisome at the least. Anyone have any thoughts as to what they have heard from their respective clinics, if anything at all? As for those results, I wanted to hold off on starting a thread until I had something closer to the final thread, but there seems to be a lack of posts by actual Dr. Rahal patients, so I figured this would as good as any for prospective patients looking to track a result as it dues completion. It's tough to comment on my progress in terms of percentage of total grafts sprouted (doesn't appear to be 50% if looking by grafts/cm as most have well below 20 atm), I'll let my pictures show everything and the forum can decide objectively how it's looking. I will say that I appear to be a very slow and gradual grower, so I'm just letting time do its trick for the time being. I have read and seen many results that improve night to day between 6-7 months and a year or later, so I am hoping I am on track for the same. It's easy to get fixated on those that are early growers, so for now I'd prefer to spread positive vibes. This procedure is does not come free of anxiety, we all know that, but I gain solace in knowing that this clinic performs multiple surgeries each and every week and has been for the last 15+ years. They are masters and though the process may be long, they know what they are doing. The following pictures start with my pre-op photos, then post-op, 7-days post op (scabbing), a dr. frietas result at 10 days that shows what I mean about being able to see the majority of individual hairs still attached to their grafts before they shed, and finally photos photos taken by me at 6 months. Would love to hear everyone's thoughts on the progress so far.
  24. Well my experience wasn't that good as well. He drew my hairline and sent me to the surgery room without explaining to me what to be done. I told him to FUE out some of the grafts below my higher new hairline but did not and made my hairline straight line without natural curvature towards the center of my forehead which I wasn't that pleased with it. My hairline growth and density was quite weak. It was estimated 55 but I got 40 and some areas 30 even, I was awake whole surgery as he was handling two surgeries plus he did not perform incisions or implanting. It was purely the work of technicians and a Mexican guy called Mike. My 6 months result and one year was somehow similar however I wish you success. i just feel Dr. Rahal standard isn't as it used to be.
  25. Rahal FUE NW4 40 year old patient came in to restore hairline and mid front Dr Rahal, designed a hairline to fill in the recession and to add density to mid front. Surgery Type: FUE Recipient Area Treated - 80cm Zones Treated - 1 to 5 Total Grafts - 5020 Graft Breakdown: Single Hairs - 994 grafts Two Hairs - 2086 grafts Three Hairs - 1745 grafts Four Hairs - 195 grafts
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