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  1. @Corbyn happy to hear my comments helped. 1) According to Dr. Lorenzo that recommendation is mandatory for patients with DUPA and will help a patient that has thin hair but it’s not mandatory for patients without DUPA. I was not on finasteride prior to my surgery and have no plans to start. 2) That recommendation is for FUT patients and you have YouTube videos explaining how to do it. 4) Forget the hairpiece that is ruining your scalp and go get a HT. There is no scientific data that confirms PRP provides any benefits. 5) I had FUT and FUE and I can say that in 2020 there is now no need to have a FUT scar in order to do a mega session with a great result. Go for FUE! Transplanted hair can fall out if you don’t take finasteride to stop your hair loss. In 2008 I was just 25 years old and had my FUT with Dr. Rahal but since then I didn’t take any finasteride so I lost some of my transplanted hairs in the front and my hairloss progressed to the midscalp and crown leaving me like my profile picture at 37 years old. 6) Only if you want to stop your hairloss and get stronger hair. If your hairloss has already stopped there is no need to continue on finasteride (you can ask this to a Dermatologist). The questions you have regarding Eugenix I will leave them for @paddyirishman because he recently had surgery with them and will be able to provide a more informed answer. I can only say they are the best in the world for a FUE mega session but now if you want to have Dr. Arika do your surgery and not a tech team you will have to pay 1.8€/graft with tax instead of last year price of 1.2€/graft. If cost for you is a issue then maybe look at Demirsoy (1.25€/graft) but if I were you I would save money and negotiate with Eugenix to drop their price because you will need a mega session of at least 7000 grafts plus beard grafts to increase density. Good luck with your research!
  2. Hello Everyone, Background: In 2008 when I was 25 years old, I had my first hair transplant with Dr. Rahal in which I had 3425 grafts implated to rebuid the front hairline by FUT but since then I haven`t taken any finasteride (due to side effects) so I lost all the hair in my midscalp and crown. I knew my donor area was limited to around 2000 grafts so I realized that in order to achieve a decent level of density I would have to compensate with beard grafts. Research: I started looking for an affordable Doctor that was performing the entire surgery himself and achieving great results with high amounts of beard grafts, so that ruled out Dr. Rahal. After months of research I found out that there was only one Doctor in the world that matched my requirements and was charging less than 2,5€ per beard graft, Dr. Kaan Pekiner. Dr. Kaan does all manual FUE with stick & place technique which is more time consuming than motorized FUE but he says it allows him to have a better feel while extracting and better control of the angle of each graft while implanting. So, I spoke with his patient advisor, Alex by whatsapp and booked my 3 day surgery from the 26 to the 28th of December (yes they work on weekends). New Luxury Clinic Opened 23/12/2019 Now how lucky was I to have found out that just last week Dr. Kaan Pekiner moved his practice to a brand new luxury clinic and I would be one of the first patients to have a surgery here. I recorded a walkthrough video to show you guys the new clinic and had Alex (Patient Advisor) upload it so my name doesn`t show: https://www.youtube.com/watch?v=hhAnFb5XfNY Because Dr. Kaan Pekiner only does surgery on 1 patient per day I had a private clinic just for myself that also included my own cook to provide meals during the day 😊 Hotel Atakosk Hotel is a 5 Star Hotel just across the street from the clinic. The Clinic has a special price of 45€/night with Breakfast and the room service dinner cost me between 6€ to 9€, super cheap! The roundtrip airport transfer are organized by the clinic and included in the price of the surgery so I brought 0 Turkish Liras with me. On checkout I paid the Hotel and all the room service meals with my Revolut card so I wouldn’t pay any credit card taxes. Surgery: My first day started at 08.30h with a photoshoot followed by mapping out the implating area and then a discussion about the surgery with Dr. Kaan. Dr. Kaan calculated I had a area of 140cm2 of mildscalp and crown to fill in but he would only manage to extract around 2000 grafts from the head and was unsure about the number of beard grafts he would be able to extract (maybe 1000-1500) so he gave me a tuff choice: 1. Achieve a nice density of around 30-40cm2 by implanting only to the mildscalp and upper crown leaving my lower crown empty for the rest of my life. 2. Implanting the whole 140cm2 open area and risking getting less than 20cm2 density if the beard donor fails to provide a high number of grafts. I went with option 2 and I am so happy I did so 😊 Here is my surgery timetable · 08.30h Graft Extraction · 10.30h 15m Break · 10.45h Graft Implatation · 12.45h 1 hour Lunch · 13.45h Graft Extraction · 15.30h 15m Break · 15.45h Graft Implatation · 17.45h: End of Day As predicted by Dr. Kaan he did only managed to extract 2000 head grafts because he only wanted to use thick graft and I could actually feel him searching my head for the best grafts to extract. “thin grafts would make no point in the crown” he said. I could also feel him arranging the angle of each graft in my crown while he was rebuilding my crown vertex, that attention to detail was like nothing I have ever seen and I thanked him repeatedly for it! On day 2 Dr. Kaan also took a sample of 109 grafts from my beard at the end of the day to test my beard donor area and he realized that my beard was actually much better than he expected. On the 3rd day the whole team spent 10 hours around my beard to extract a whopping 1888 beard grafts thus provinding me with almost 30cm2 density all around. I couldn`t believe it when Dr. Kaan told me the graft count, we were both so happy that I was getting a better than expected density (even though it’s not a lot and I am hoping I will be happy with the results). Also, I had 80 grafts (singles and doubles) implanted into to my right temple because after shaving it was easy to see I had a small gap in the front. Post-Op Today I met with Dr. Kaan to remove my bandages (yes he came to see me in person on a Sunday morning, amazing!). It`s also really great he speaks fluent English because if he didn`t it would have been a deal breaker for me. So my surgery finished yesterday and so far I have had absolutely no swelling whatsoever. Dr. Kaan used a 0.9mm punch for my scalp donor area and a 0.6mm punch for my beard donor area. A shout out to Dr. Kaan`s amazing team: Fatmanur, Irem, Volkan and Saide, they were by my side the whole day assisting Dr. Kaan and making sure everything went smoothly. Conclusion After having had FUT with Dr. Rahal in 2008 and now FUE + BHT with Dr. Kaan Pekiner, in my humble opinion Dr. Kaan is truly one of the best in the world as I found no other Doctor at his price point offering his total devotion to just one patient per day in order to reach the best possible outcome using both the donor area from the scalp and beard. Please check my pictures and let me know what you think. Request to the forum Administration: Dear Hair Restoration Network Administrators @Melvin-Moderator you guys would be doing a huge service to other patients like myself by including Dr. Kaan in your current list of just 2 reccomend Turkish Doctors (neither of which matched any of my requirements). I promise that if you come meet Dr. Kaan to see this new clinic, staff and technique you will confirm that he has truly raised the bar on the “Gold Standard Hair Transplant”. Thank you
  3. Hello Fellow Members, I intend this to be the first post of my HT journey in 2020. My sincere thanks to this community and every person online who has shared knowledge, perspectives, opinions, results, etc. This has equipped me to make an informed decision. I know at least 14 relations and friends who have expressed sincere desire to get a HT, but remain at the periphery due to fear of high assumed costs, side effects, etc. resulting from lack of research and not personally knowing anyone who underwent the procedure. This documentation of my experience will be a first hand example to motivate them and other new people on this forum (assuming all goes well). As such, this is my contribution to equip future patients with information and confidence. About me - Male; 29.5 years old; Indian immigrant currently studying in Canada. Why HT? - While I have never visited a doctor for a proper diagnosis, I assume I am suffering from Androgenic alopecia inherited from my mother's side. I have been experiencing hair loss since 17-18 years of age. Finally I am at that stage where the hair loss has become very evident and troubling when I look in the mirror or at my photos, and I would like to do something about it sooner rather than later. I am not interested in non-surgical restoration methods like wigs/hairpieces, etc., but open to medication. Why India? - I really wish I could get it done here in Canada for convenience. I first visited Dr. Rahal for a consultation. He is local to me. I have no doubts in his ability, but his services will cost me about 3-4 times of what I will pay in India for the services of a highly skilled doctor. For an affordable HT, I chose India over Turkey to avoid language barriers and for the comfort of homeland. Also, most IAHRS members and other globally recognized surgeons are more affordable in India than Turkey (except Dr. Resul Yaman and Dr. Ekrem Civas I think). FUE or FUT? - Last year I got super excited and emailed Dr. Suneet Soni (Medispa) that I was interested in getting FUT done from him and he gave me a quote for 3500 FUT grafts. Unfortunately, my limited financial resources were urgently required somewhere else and I had to delay. I let Medispa know that I was going to delay. This gave me more time to think and research. I read about FUE with Dr. Bhatti (Darling Buds) and DHT with Eugenix Clinic, and saw many cases of scar stretching from FUT. Finally I decided that I did not want to take that risk regardless of which closure/stitching technique is used, and also I wanted a quicker and less painful healing. So I am interested in FUE or DHT only. Who in India? I am nearing the end of the process of identifying potential options, and until now I have shortlisted the following surgeons. My photos are posted at the end of text. a. Dr. Tejinder Bhatti of Darling Buds. He suggested 2800-3000 FUE grafts and answered all my questions satisfactorily and seems very professional. I thought his consultant Shera would contact me when I first emailed, but I believe I have been chatting with the Dr. directly. The fact that he doesn't perform FUT at all and his entire practice is based around aggressively promoting FUE, along with the fantastic FAQ on his website promotes confidence in his skills as a trustworthy FUE surgeon. He is a member of pretty much all prestigious global associations and was also featured in some publication's 'Top 20 global surgeons for HT' ranking. His website has transparent pricing. Cons: I came across some posts on this forum where the results were far from satisfactory and the post-operation response and support those patients received from the clinic seemed disappointing for a clinic of such high reputation. b. Eugenix (will probably select the comprehensive pkg. which has partial involvement of Dr. Bansal and Dr. Sethi). I was in touch with their consultant Nelson a couple of months ago and he offered a Skype session with a doctor (don't know which doctor). I postponed it due to personal reasons, but have resumed the conversation. Regardless, Nelson had mentioned that the doctor suggested 2000 grafts through DHT. I don't know which doctor since there are 5 at the clinic, and was a little surprised by the qty. of suggested grafts, but will bring up this question in the Skype session. Also, it would be good to know what percent (approx.) of total slits are done by Dr. Bansal or Dr. Sethi in comprehensive pkg. I chose Eugenix because Dr. Bansal and Dr. Sethi are highly reputed surgeons, inventors, authors of books and publications, and members of prestigious societies. They are also listed on Joe Tillman's recommended surgeons list. Their website has transparent pricing. Cons: I can't afford full services of Dr. Sethi or Dr. Bansal and will have to place my trust in the young doctors trained by them for majority of the procedure. c. Dr. Suneet Soni of Medispa He suggested 3500 FUT grafts (because I started a conversation advocating FUT). I have read that Dr. Soni is the best for FUT, but not necessarily FUE. All his successful results are also FUT + FUE. I emailed him recently (after many months) with new photos and requesting quote for FUE. He has not responded since a week. Not sure if he is still interested. Regardless, I chose him for his results, excellent website (though no transparent pricing), prestigious memberships, and artistic reputation. My recent photos are attached. Please share your opinions, ideas, insight, suggestions regarding my surgeon choices above and the photos below. I will be very grateful for your time and help. Tagging some fellow members who also posted similar questions recently and seemed undecided on their search. @Alphabeta @Dalveer @skallig @givemehair2019
  4. 16 Days Post-Op and my FUT scar perfectly made by Dr. Rahal is almost un-noticeable and the scabs are finally gone! A bit redish on my lower scalp from scratching.
  5. @Gasthoerer Dr. Kaan did advise me to go for another FUT with Dr. Rahal and after 1 year come to him for FUE+BHT but I knew I had a limited donor area and would need to compensate with beard grafts to achieve a decent density so I chose to get this done in only 1 surgery with a Doctor that had experience doing beard mega sessions. Maybe if I had chosen to first go to Dr. Rahal I would now have a depleted donor after having done a FUT surgery of just 2000 graft that provided 15cm2 density to the crown and midscalp (not something I would have been happy with). Hope I made the right choice.
  6. @Melvin-Moderator I don’t know yet if I’m happy with my surgery because I’m still waiting for the results. Also, I’m not affiliated with any of these Doctors and in the case of Dr. Bruno Ferreira, Dr. Ximena and Dr. Demirsoy (not a fan but he is cheap) I’m not even their patient and recommend them solely based on price/technique vs results here in this forum. I think there better Doctors than the ones I’m recommending here but I just don’t think there are better Doctors charging less. Please correct me if I am wrong as myself and a lot of people surely will appreciate knowing about other best value Doctors. In 2008 when I had surgery with Dr. Rahal I spent years recommending him and Hasson&Wong constantly because they had the best results in this forum and were cheaper than many US Doctors, in those days no moderator said I was coming off as salesman. I guess things have changed since those days but I will stand by my comments until I am proven wrong and hope you can allow me to continue to recommend best value Doctors that I believe can achieve a great results and not make us pay an arm and a leg for them. If you or any one else disagrees with me, that’s great, so let me know which Doctors you guys think is doing amazing surgeries with great results at 2.5€/grafts or less because while knowing who’s the Elite is important it’s also important to know who does the surgery like the Elite with results on the same level of the Elite but charging us much less. I would really appreciate it if you and more members could contribute with the prices and the techniques of the Doctors you think can achieve good results at more affordable prices (minimum wage in Portugal is 600USD/month so here we are all very much geared towards value for money).
  7. @Hobo_Sapiens I am reccomending Doctors with dozen of patients posting their amazing results online and only Doctors that perform the whole surgery themselves with the most advanced techniques, which is either using Implanter Pen to open the hole and insert the graft at the same time thus increasing the graft survival rate - or stick&place. How can you recommend a clinic that has no patients showing their results online? Do you really believe the pictures on the clinic website are to be believed? Should we also believe we will all have the same level of surgery they performed on the celebrities that are paid to endorse them? Open your eyes my friend! Do you know that Dr. Cruz Dinis uses technicians to do the surgeries at his clinic just like C2MC and Saude Viavel? Dr. Kaan Pekiner told me this during our 3 day surgery because he met him at a conference. Yes 3 days Hobo because when a Doctor does the whole procedure he can only do around 1000 grafts per day so a surgery like mine with 3895 grafts takes 3 days and during that time I had a whole clinic just for myself. Go to the Spanish forum see some patient results of Bruno Pinto and then dig a little deaper into the techniques used by the best FUE doctors in the world and you will see they are doing the whole surgery with Implantor Pens or Stick&Place without relying on technicians. After you have done this research you will begin to understand why Dr. Bruno Pinto is fully booked until 2021 and the clinics you talked about will persuade you with discounts to convince you to book the surgery. I’m not a Doctor but I had a hair transplant 12 years ago with the best FUT Doctor in the world Dr. Rahal and I have been keeping myself updated on the evolution of FUE techniques and who are the best and most affordable Doctors which right now for FUE, they are Bruno Ferreira (2.5€/graft) and Kaan Pekiner (2.15€/graft).
  8. Paddy I am not arguing the quality of Eugenix results nor the ethics of their reputed Doctors I am simply trying to confirm the veracity of their claims regarding the technique that is used during surgery. Did they tell you you were having Direct Hair Transplantation? If so, did they used a implator pen to open each hole and insert the graft at the same time the hole was opened? Just asking because this is DHT technique and if this is not the technique you had during your surgery then you didn’t have DHT. Your results and other Eugenix patient results can be the best in the world but a clinic can’t claim to be doing a technique and then fail to provide said technique to their patients. I am interested because for the past 12 years since my first HT with Dr. Rahal I have been giving advice to a lot of friends in the same situation and I pride myself on giving informed advise. Just last month 2 friends of mine went to Dr. Pekiner based on my advice and now I was telling another friend on a very tight budget that there could be a cheaper option in India with Eugenix with the same “Doc does everything” approach and the added bonus of DHT. Sadly, today I found the price is actually almost the same as Dr. Pekiner and now I find Eugenix might be falsely claiming to do DHT. Would really appreciate your input since you recently had surgery at Eugenix and could shed some light on the matter. As for your question regarding my comments on DHT, DHI, Implanter pens and other recent methods of FUE I can only say that I will continue to come to this forum to get information on these matters and share all the information I collect from talking with you and other members as well as the Doctors and patient advisors (hope that’s ok).
  9. Even Dr.Rahal has bad results on this forum. I always advise choosing a Doctor that does the entire surgery himself and only has 1 patient per day at his clinic (no techs implanting or extracting!). I ended up with a short list of 3 doctors Dr. Bruno Ferreira (2.5€/graft), Dr. Ximena Villa (2,5€/graft results ) and Dr. Kaan Pekiner (2.15€/graft results) These are 3 rising stars Doctors out to make a name for themselves. I chose Dr. Kaan because he had the most experience with beard mega sessions.
  10. Please save your money and have your transplant done by a doctor doing the entire surgery with great results posted on this forum. Stay away from these clinics were the surgery is done by a team of technicians that were waiters last month and this month are implanting hairs. Dra. Fatima Garces is still using the Artas Robot which was responsible for many terrible results in this forum (search here Artas Robot). Dr. Rahal and every other good doctor have stopped using Artas many years ago so my advise is to run away from Dra.Fatima and any other clinic still using the Artas Robot. I have a Doctor friend from Egas Moniz that went to C2MC because he knew the Doctor there but he ended up having his surgery performed by a tech from Senegal. He now regrets not going to Dr. Kaan Pekiner like I did. In Portugal there are only 2 doctors doing world class hair transplants: Dr Bruno Pinto (fully booked until 2021 and only some dates available in 2021) and Dr. Bruno Ferreira (2,5€/graft). If you want to have a hair transplant in Portugal and be 100% sure you will get great results then you have to book one of these two doctors! There’s a reason why these two doctors are more expensive and are fully booked - you don’t go to discounted clinics to have techs with little knowledge or a Robot operate on you, this is a permanent surgery!
  11. 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.
  12. Dr. Rahal did my first HT in 2008 and he also had one or two bad result at the time but for the past 12 years none of Rahal`s patient`s with bad results came to my Rahal`s results thread striking fear and turning my results thread on to themselves...
  13. I had FUE with Dr. Rahal in Ottawa 7 years ago and basically my hair is back to square one. I had my crown done and it looked pretty good the first 2 -4 years but now it looks pretty much as it did before so I'm very disappointed considering the huge financial outlay and low long term results. Didn't realize that a high percentage of the transplanted hair would be permanent - that was the whole point of the procedure. IF anyone has any suggestions for Toronto/ GTA that would be great - I've checked out Sure Hair but the surgeon is a dermatologist and also does hair restoration. I'm looking for someone that only does hair restoration. Thanks
  14. You got some good names, I don't know much about Dr. Nader, but Dr. Rahal and Dr. Diep are great surgeons. The best advice I could give you is spend some time on our surgeon/reviews section, look at real patient reviews, private message patients and gain a real feel of what surgeon is actually doing good work.
  15. @John Doe Hi John Doe, really sorry to say this but that gap will 100% NOT have hair grow in, and the gap situation can only be solved by a 2nd touch up procedure. I went through something very similar myself, except my gap was even larger and more apparent. For the first 6 months after my HT, I convinced myself that this gap was shock loss, it will grow back, etc. But the thing is, as you already know, if there was no hair there to begin with, then there is no hair to grow..... It was incredibly painful for me to accept the reality of the situation, that I had had a botched transplant, and having to go through the stress and drama of a 2nd surgery. I was INCREDIBLY disappointed in the doctor who did my procedure. Why didnt she just put more grafts in? WTF who would have thought that was ok? My doctor is essentially an unknown/amateur in Denver, Colorado, so I am surprised that this happened to you at a more well-known clinic with a well-known doctor. Good news is you have Dr. Rahal by the b*lls now. He said he would do the touch up for free. If you don't want this clinic going near your hair a 2nd time (who says they wont screw up the touch up procedure?) - find a HT doctor closer to you who you trust to do the repair, get a quote, then DEMAND to the Rahal clinic they pay for the touch up
  16. Namsak, HLC is a clinic not a Doctor so you don’t know which doctor will be doing your surgery, it’s also impossible to compare results from HLC with a Doctor because not all HLC results state the name of the doctor that did the surgery. . Dr. Pekiner worked at HLC for several years so you might find that some amazing results from this clinic are actually from Dr. Pekiner. I rather select a doctor with patients results than a clinic. My friend Ricardo had surgery with Dr. Pekiner last week and told me he is better than Dr Rahal (his first surgery). I also had my first surgery with Dr Rahal and will have my second surgery with Dr Pekiner this month on the 26th in which I will be doing 4500 grafts to the crown and midscalp. I already had a great felling about Dr. Pekiner and my friend took my advice and booked a date prior to mine, after what my friend told me I am now certain that Dr. Pekiner is a rising star and I am happy I can still afford having my HT done by this doctor.
  17. I had my SMP procedure done at Dr. Rahal's clinic in Toronto. The treatment was done by Fiona who is by far the best SMP artist in GTA. I am extremely happy with the results of the procedure. Before my first appointment, i had a consultation session with Aaron who was very helpful and explained me what SMP is and how it is done. On the day of my first treatment, i was a bit nervous but after meeting with Fiona and as the procedure went on I was happy that I had made the right decision of choosing Dr. Rahal's clinic. Prior to my treatment I had read good things about Fiona and she exceeded my expectations with her expertise. She is very knowledgeable and highly trained at what she does. Her biggest positive is that she is very patient and considerate. She will listen to your concerns and work with you to get the best possible results. At the end of the day it all comes down to how experienced your SMP artist is and the entire look of your head is in their hands. I am very fortunate to have found Dr. Rahal's clinic and if anyone is looking to get SMP, Fiona is the best SMP artist out there. Thanks Fiona!
  18. In 2017, I travelled to Madrid and underwent an FUE hair transplant with Dr Lorenzo. A year has passed and I wanted to document my progress and help guide anyone else considering the Injertocapilar Clinic, or an FUE transplant in general. — I never knew I was losing my hair until it was too late. My rate of hair loss was gradual. There were no hairs on my pillow or in the plughole. Since I had a high hairline, I failed to properly recognize the degree of recession that was occurring. However, by my mid-thirties, my hair loss was becoming noticeable and I was not entirely happy with my appearance. Sometime around 2015, a friend took some photographs of my scalp and I was shocked to find that I was sporting the kind of thinning hair that I imagined I might have as an old man. 

 My hairline was high up on my head and my crown had started to open up. As a spunky guy in my mid-thirties, I was not ready to have an aged man's head on my body. After some months of quiet anguish, I decided to do something radical and shave my head. This was surprisingly liberating. For the first time, I had control over my hair, rather than the other way round. As soon as I let the clippers do their work, I was no longer at the mercy to the whims of my scalp. I wish I had done this sooner. Hence, I’d recommend that anyone considering a hair transplant shaves their head first. Shaving is a big step to take in its own right. However, I immediately discovered that when there’s no hair on your head there’s no problem to deal with! 

A shaved head can also look (very) cool but you won’t know until you do it. Give it a try. I rocked the shaved head-look for over a year. However, I eventually decided to opt for a hair transplant: whilst I was confident with my new appearance, I wanted to recognise my face looking back in the mirror, rather than the physiognomy of a baby-faced Jason Stratham. 
I had my reasons. Several years ago, I had made it a personal mission to restore my youthfulness and vitality. My body was starting to pick up the aches and pains associated with ageing and living a sedentary lifestyle. However, I was able to turn the clock back, with a regime of calisthenics and an improved diet. I figured it would also be fun for my hair to also follow suit. Besides, I reasoned that if the transplant didn’t match my expectations, I could simply revert back to shaving my head and wearing the hell out of a suit. In this way, shaving my head actually helped me take the decision to get a transplant in the most positive of ways. Who knew? I began researching the various online forums (including this one) for suggestions on where to find a great doctor. I kept my time on the forums brief but eventually, I narrowed my search down to what I objectively considered, the top three hair surgeons. They were: 
1. Dr Feriduni (Belgium) 
 2. Dr Rahal (Canada) 3. Dr Lorenzo (Spain) I contacted each of their clinics and made online enquiries. I sent in photos of my hair and corresponded with their respective staff. Spex, who represents Dr Ferudini, was particularly helpful.

 However, Dr Lorenzo contacted me personally (on Christmas Day, no less). I appreciated this personal touch, his frank feedback and the breadth of his portfolio of work. 

 Many before me considered him the greatest hair surgeon on the planet. I figured that if I was going to get this procedure done, I’d opt for the best of the best. With a mixture of gut instinct and mental deduction, I chose Dr Lorenzo. (NB. There was not much difference in quotes given by all three. I paid in several instalments and I believe the total was around 12-13K Euros) It is a big decision to fly to another country and undergo a hair procedure. Personally, numerous objections in my mind came up, such as: ‘You’re already happy, surely this hair procedure only serves your ego?’ ‘The procedure is expensive, wouldn’t you rather spend that on a holiday?’ ‘Do you want to be taking Finasteride for the rest of your life?’ I decided I have a whole lifetime to make more money and that getting a hair procedure was more to do something good and nice for myself. However, the thought of taking meds every day, admittedly, held me back.
 I view my body as my greatest asset in life and I didn’t want to be dependent on ‘popping pills’ for my cosmetic appearance. However, after researching Finasteride, I deduced that any negative side effects were pretty much short-term and fully reversible. (I read the horror stories out there too but I calculated, statistically, the risk-to-reward ratio very favourable toward a positive outcome. I'm geeky like that.) I sourced the Finasteride online (www.hairlossexperiencesshop.co.uk), which came as 5mg tablets that I divided into five smaller bits and took every day. After several months, I had happily encountered no ill effects. At this point, I decided to contact the clinic and book the procedure with Dr Lorenzo. There was a 10-month waiting list, which was frustrating in the face of my impatience but the time quickly flew by. Before I knew it, I was on an economy plane seat to Madrid. I enjoyed the city, which has a great cultural vibe and is easy to explore, via the metro system. I stayed at a nearby hotel arranged by the clinic. I met Dr Lorenzo, who speaks perfect English, for a consultation several days before my procedure.
 We had conversed online and his personal assessment was that my temporal peaks and hair line would need completely rebuilding. I also had a small gap appearing on my crown that could be filled. On close inspection of my scalp, Dr Lorenzo also noted that my donor area was excellent (hair, I think, was 53 microns) and suggested a transplant consisting of 3,500 grafts. (NB. I didn't appreciate at the time that one graft can have several hairs, so the amount of hair that was to be transplanted was much more than 3,500...) During my consultation, I asked lots of questions that I had written down and he candidly answered every one. His focus throughout my consultation was the pinnacle of professionalism and this put me instantly at ease. I left his office feeling that I was in very safe hands.
 On the day of the procedure, I arrived at the clinic very early. 
 I met Grace, a nurse from the UK who now works with Lorenzo. Grace would be on hand over the next two days to talk me through what was happening. I changed into scrubs and was given a valium. My heart rate was also taken. My head was shaved and I was asked where I would like my new hairline to be! I decided to let Dr Lorenzo draw the line on. After all, I figured he’s done this a lot more times with a pen than I have. Just as the valium started kicking in, I was lead to the room where the procedure would take place.

 Let's fast forward. What does having a hair extraction feel like?

 Well, the short answer is that it feels like having your head pricked with a cocktail stick around 1,500 times!
 The procedure began with me laying comfortably on my side whilst I let the anaesthesia take effect. Dr Lorenzo oversaw the extraction team as they began removing my hairs. He performed several extractions himself and guided the team, as required. I listened to music and even fell asleep several times. Occasionally, I’d feel an extraction, which felt like being jabbed with a sharp stick. More pain relief was promptly given. This procedure went on for about four hours. With everything considered, the whole process was actually not too bad: about as uncomfortable as flying on a budget airline plane seat for a long haul. Bearable, not terrible...with much a better lunch. After all the extractions had taken place for the day (1,500 in total) I stretched out and ate some lunch in the kitchen area of the clinic. I chatted with the extraction team and Grace, who was on hand to assist. Everyone at the clinic was very friendly. 

After a short break, it was time for my extracted hair to be implanted. What does having a hair transplant feel like?

 Again, it feels like having your head pricked with a cocktail stick...a further 1,500 times!
 Dr Lorenzo, with a Jedi-like focus, began the procedure of implanting my extracted hairs. I am usually a very chatty guy but, in this case, I had the sense not to interrupt him as he entered a flow state of concentration. It was at this moment I was supremely glad I had chosen a true expert to perform this intimate type of work –and not got it done on the cheap in a less developed country. With hindsight, I would definitely recommend a 'saving n' shaving' approach when selecting a doctor: it is worth it. Dr Lorenzo is clearly an artist as well as a surgeon and I sensed that he really took care to make sure every hair was inserted at just the right angle in just the right place. One by one he added hairs to my scalp. I listened to music and dozed off a few times. After several hours, we were done for the first day. I looked in the mirror and, for the first time in almost two decades, saw that I had hair again! It was an emotional moment to see how my entire image was being transformed. However, at this stage, my image was more akin to a whimsical Harvey Dent than a handsome Bruce Wayne: there were two distinct sides to my face: one side with hair, one without.

 Before departing the clinic for the day, I was given careful, simple instructions on how to look after my freshly transplanted hairs and driven back to my hotel. This mostly involved spraying my head with a saline solution to keep it wet. 

Despite having a head like a hairy Swiss cheese, I had a pleasant night’s sleep. I awoke the next day with light trepidation: the sleepy thought of being pricked another 3,500 times was a little disconcerting. 
Then I remembered how awesome the prospect of having hair was, which dispelled the negative feelings. At that moment, the hotel shuttle whisked me to the clinic. I arrived, met the staff and the work continued. I was prepped in the same way as the previous day, and the procedure was repeated. Poke, poke, poke! The time passed slowly. However, by the end of the day, I had hair. Bruce Wayne achievement: unlocked! My head was a smattering of red dots but the hardest part was done. That night, I slept carefully in my bed, using a pillow provided by the clinic and, again, spraying my head every few hours with the saline solution. I also took some vitamin D3 to help assist in the healing process. Before heading home the next day, I attended the clinic for an assessment and a debrief. For those interested, here are some stats from the surgery: 
Extractable Grafts: 6,924
 Actual Grafts Used: 3,501 Overall Hairs Extracted: 8,477 Total Hairs Used: 42.8% Hair/graft ratio: 2.42 Temporal: 300 grafts (2.25 hair/ graft) Parietal: 1,451 (2.41 hair/ graft) Occipital: 1,750 (2.46 hair/ graft) Single: 353 Double: 1,488 Triple: 1,497
 Quadruple: 159 Quintuple: 4 
Sextuple: 0

 The procedure had been a success and now the task was up to me to keep my head protected to ensure the optimal conditions for all the transplanted hair to grow and the donor site to heal. 
 Apparently, it takes nine days for the transplanted hairs to completely take root in their new locations. Dr Lorenzo suggested this happens even more quickly but I fixed my sights on keeping free of any potential stress for the next nine days. The initial days following the operation were quite challenging in ways I had not anticipated. My head swelled up for a few days due to the lingering aesthetic in my system. I looked like Thanos’ nephew. Happily, the comical swelling subsided and was then replaced with a bigger challenge.

 The donor area was covered in thousands of little scabs that became incredibly itchy. Of course, I was under strict instructions not to scratch. I can imagine the greatest feeling in the world would have been to have scratched those itchy bits…but…I resisted!

 However, the itchiness was so severe it descended into a mixture of pain and mental despair. It kept me awake for several days and was far more challenging than the transplant itself. Eventually, I found relief by applying cold aloe vera gel (kept in the refrigerator) to the affected area of my head, which significantly eased the sensation. After a few days, the itchy condition passed and my sanity returned. After a few weeks, with the redness of scalp starting to fade, I could enjoy my newly transplanted hair. It even started to grow! Although short, it felt great to have my hairline restored to my younger self. 
During this journey, I made a point to tell almost everyone about what I was doing. I decided that trying to hide the obvious is the same thinking that leads to comb-overs. 

 Lots of my friends were really interested in the procedure and everyone was supportive. Curiously, I think the question I got asked the most was “…how much did it cost?” After a few weeks, my transplanted hair began to fall out as I entered the so-called ‘ugly duckling’ phase. I guess no patient likes to see their new hair vanish, even temporarily, so, at this point, I decided to skip the drama and keep my hair super short, returning to my former Jason Stratham look for the next few months. However, this time around, I wasn’t able to use clippers (you have to wait five months) but I got by cutting my hair with scissors. Short hair made the process of dealing with the changes happening on my head much more manageable. However, as soon as I cut my hair short for the first time, post-op, I made a positive discovery. –There was no scarring in my donor area! I had assumed that all the hairs taken from the donor site would leave little-pitted scars. I had seen such pictures, online, of other FUE patients and accepted this as par for the course. However, I had no scarring at all. My skin was smooth. I suspect this is because of the extraction technique used and the skill of the extraction team. I was a very happy client indeed and extremely happy I opted for Dr Lorenzo and Injectocappilar. Life then continued as normal. After five months I returned to the clinic for a checkup with Dr Lorenzo. I must say he really is a perfectionist and took the time to look closely at my hair and its progress. By five months my hair was beginning to thicken. There was some concern about the density around my temporal peaks. The hair in this area was a little thinner. Dr Lorenzo concluded that we must wait another five months to see how the hair will progress. Six months after the procedure I began to let my new hair grow properly. As the hair grew thicker and it was an amazing feeling to look in the mirror and see the same style of hair on my head that I had, fifteen years prior. After ten months, I returned to see Dr Lorenzo for a second, and final, check-up. The hair had thickened considerably during this interlude. He was very happy with the overall outcome. He suggested that we could put in 50-250 more hairs in the peaks down the line to thicken them up a little more. This is something I may consider, but it's not really an issue for me at present. What does transplanted hair look and feel like? 
Well, ten months after the procedure, the hair feels exactly like normal hair. It has all the same sensations when you brush or comb it. Running your fingers through your new hairline feels like it has always been there. The sensitivity of the scalp is identical to before the procedure. My new hair covers my head perfectly. I now have a hairline and temporal peaks that frame my face very nicely. The patch in the crown of my head has been completely filled, too. 
Dr. Lorenzo really stretched those 3,500 grafts well. The density of the transplanted hair at the front is not as thick as my original hair. However, it is pretty thick and from months six to ten (present) the thickness of my hair continues to increase. I’m not sure how it will change looking ahead.
 The transplanted hair is slightly darker than the rest of the hair on my head. It blends in perfectly well but I was curious about it. Dr Lorenzo explained that this is because the hair is strong. 
The transplanted hair has a slight curl to it. I was informed that this is because the hair is new. As it matures it will resemble the hair on the rest of my scalp. Even if the hair remained curly it would not be an issue.

 The donor area appears as thick as before I had the procedure. Upon inspection, it looks as if no hair was actually taken. I wondered if the hair around this area would be thinner but I can’t detect any change. It seems almost like magic. Dr Lorenzo takes the approach of using transplanted hair sparingly. He’s keen to not exhaust the donor area, whilst maximising coverage. I appreciated his approach in this respect. I learned I have about 21,000 hairs (not grafts!) remaining in the donor area for any future work. Although I made an effort to tell as many people about my procedure as possible it has been quite fun to meet old acquaintances who didn’t know that I was getting an FUE procedure. 

In every case they look at me, with slight befuddlement, and say things like: “...you look younger” or “...there’s something different about you!” These comments are always positive and some even have expressed an interested in having a transplant themselves. When I look in the mirror now, I now see myself looking back. It's fantastic not to have to worry about my hair anymore. It’s almost easy to forget I ever had issues with it falling out. The days of hair-woe now seem long ago, and I have no fear of them returning. Do you ever wish you could turn back time knowing what you know now? Well, I feel like I am twenty years old again, with all the smarts of a thirty-five-year-old! It’s a great feeling! This is, by far, the best money I have ever spent. I see it as an investment in myself. Looking forward, I am keen to see how my hair matures. I am delighted that I now have hair that I can style (although I probably won’t be using hair straighteners as much this time!) 

Recently, I even got a bad haircut from a dodgy barber, which I now consider a high-quality problem! Overall, I am a supremely happy client and highly recommend Dr Lorenzo and his team. I have gone from having a receding hairline to having hair. The difference feels like night and day! The level of care and attention he showed throughout my procedure was exemplary. Both He and Grace have been on hand and available to help with questions after the procedure. Like many others, I believe he is the best hair surgeon in the world. I’m writing this review on my own accord and as a sheer expression of my contentedness. I hope this gives you an overview of working with Dr Lorenzo or any other FUE professional. These opinions are all my own, so please do your research! If you have any questions, please ask below! I’ll do my best to answer them. I will check back into this thread every few months over the course of the next year.
  19. Hello everyone, Mike Flaherty is not my real name. My first transplant with Dr. Rahal was nine years ago in 2010. I had another one performed two years later in 2012 to lower my temple points and add some hair to the sides of my head. All in all, I believe it was around 5000-5500 grafts transplanted over those two sessions. My hair still felt rather thin and wispy but with meds and thickening products I managed and for a few years was pleased with it. This year my hair has started thinning something fierce - especially on the sides which now appear almost bare. I've developed bare patches on top as well, which were always there but this year they have gotten extremely sparse. By the end of the day, my hair feels extremely thin and almost greasy to touch and I can feel these bare patches. I'm seeing a lot more long hairs fall out in the sink when I wash my hair. I switched to organic shampoo two months ago but that might have made shedding (if that's what this is) worse. My bareness on the sides (right side especially) has now exposed my scar from my procedure years ago. After these two very expensive procedures ($20,000 which I'm still paying off) I'm very disappointed in the quality of my hair's overall thinness, patchy spots and continuing loss. I know I've put on an amount of weight the last few years but I can't see that factoring into my hair loss. I did consult with Rahal this past spring who suggested another procedure - at an additional $7000. I'm amazed at the incredible thick hairlines and work I see from other Rahal patients but mine was not one of them. Pretty much at a loss (pardon the pun) right now regarding this situation.
  20. 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.
  21. 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.
  22. 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):
  23. Surgery type: FUE Recipient Area size: 46 cm Zones Treated: 1 to 3 Grafts transplanted: 2006 grafts Recipient Graft Density: 44 grafts/cm Recipient Hair Density: 92 hairs/cm Graft Breakdown: Single Hairs: 422 grafts Two Hairs: 1008 grafts Three Hairs: 510 grafts Four hairs: 66 grafts Total Grafts: 2006 Total Hairs: 4232 Hairs per Graft: 2.11 Rahal FUE NW 3 23 year old patient came in to restore hairline, temple angles and temple points to balance vertical and horizontal proportions. Dr Rahal, designed a hairline to fill in the recession, close off the temple angles and add grafts to temple points. The treatment area was 46m. The transplanted density done at 44 grafts/cm or at 92 hairs/cm. He now has more styling options with the new transplanted hair.
  24. 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.
  25. Dr.Hasson, Dr.Carlos Wesley & Dr.Konior - the current three posting the best "homerun" results in North America from what I can see of recent clinic and patient own postings. Dr.Rahal was in the mix previously for FUT but something seems slightly amiss about the feedback from Rahal recently. For large strip mega-sessions of 5,000 grafts or more like you'd need - I think Dr.Hasson seems to be a leader in this space in both grabbing as much hair in one session as possible and leaving a great scar. In Europe Hattigen Hair seem to be doing very big FUT cases too.