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arocha Arocha 2500 grafts FUT with PRP 4/16/19
Steeeve posted a topic in Hair Transplant Experiences and Surgeon Reviews
Hello all, I finally bit the bullet. To give everyone a rundown I’m 39 years old this year. I live out of Austin, TX but I’m from closer to the Houston area. I started thinning when I was 18 and I tried everything to slow down the process, admittedly without a lot of knowledge back then. This was 1998 and I didn’t know much about propecia or minoxidil. I tried shampoos and all kinds of gimmicks. I did try propecia and minoxidil liquid but because I didn’t know enough about it and didn’t see immediate results I just stopped and got on with my life. It all started in my crown and then over the course of a decade marched its way forward toward my hairline. While my crown was very noticeably thin my hairline and frontal third stayed noticeably strong until my mid to semi late 20’s. At 24 I went and had my first consultation at a Bosley clinic in Houston and the whole experience made me feel uneasy. The doctor wasn’t really concerned with my crown which is where all the thinning was happening and wanted to lower my hairline which was still a teenage hairline. It was less than four fingers down on my forehead and still really thick. Ah, how I miss that wall of hair... lol. I politely passed but they called me every single day for two years straight trying to get me to come in for the transplant. They wanted to charge me 20K to lower my hairline and sprinkle some grafts in the crown. Knowing what I know now I think back about how they didn’t even bother to mention propecia to help slow loss. Bullet. Dodged. I got married in 2010 which ended really badly very soon after and my hair really started to go after that. Around 2012 I went to Dr Brad Limmer and got on Propecia/biotin/minoxidil foam to slow things down. Sadly he passed away the next year almost to the day of my consultation with him. I’m an actor and I was staying in Houston with a friend in 2014 while filming a movie in Louisiana when someone mentioned Dr. Arocha. I scheduled a consultation and we immediately got on very well. I loved his attitude, how much knowledge he wanted to share, that he was very honest about what we could achieve. I was traveling a lot though and it just wasn’t the right time to pull the trigger. While I traveled around the states for jobs I would schedule consultations with other doctors. I spoke with Feller and Bloxham, Gabel, Hasson and Wong, and others-some through email, FaceTime, in person. Ultimately it came down to me feeling the most comfortable with Arocha although Gabel was pretty close. I’m a diffused thinner and if my father and maternal grandfather are any indication I’m going to end up a 6 on the Norwood’s scale. I was going to go ahead with the procedure last year but my wife (I got married again in 2017) and I found out we were pregnant with twins so I decided to wait until things settled down with them. Side note: I did not stop taking finasteride when we found out we were pregnant and our babies our beautiful and healthy and at the time of this post almost 6 months old. The Big Day! I got to Arocha’s office a little after 7:30 am (traffic in Houston sucks) I signed the paperwork. We took some preop pics. Dr Arocha designed the hairline basically within my existing one. The plan was to work through the existing hairline, fill in the temple corner recession, and bulk up the frontal forelock. We discussed what we would do next year, reassess the front or go ahead and work on the crown. Everybody was really nice. I was visibly nervous and my blood pressure was a little high due to my being a little antsy. The Valium quickly helped out with that. When they were injecting the numbing solution into the back of my scalp I noticed I started shaking and feeling queasy so I spoke up immediately. They turned me over and raised my legs and put ice on my chest. I almost immediately felt better. Dr Arocha was there and cracked a joke about how I was his first patient of the day but probably his 7000th patient altogether so there was really nothing to worry about. TBH I wasn’t nervous about his ability to help me as much as I was just nervous about this giant step I was taking. After this procedure there was no going back. I turned back over when I was ready and they took the strip out. They kept complementing me on how good my donor was however I never got a number from them. I asked but they were just like, “don’t worry, it’s really really good.” I believe I heard say as they were looking at it that it looked like 80 to 90. Dr Arocha started to make the incisions and we talked for awhile before I dozed off and the next thing I know is I’m waking up to salmon kabobs, a killer salad, and potato and black bean soup. I eat up and then I go back to the chair where the techs start to insert the grafts. We chat for quite awhile. Dr Arocha was there for quite a bit of it as he would interject in our conversations. Every once in a while he would remind them about this or that concerning my grafts. I dozed off again and when I woke up we were basically done. They informed me that while I was out they put PRP all over my head. They went over cleaning instructions and we took some post op pics. My wife came in to pick me up and everyone came out to meet our twins. After that we were off and back to Austin. The ride back was pretty rough. There was a lot of pressure in my head and I got a pretty bad headache. Even with the pain pills. It didn’t even last the entire three hour drive though. I’m attaching some pics. Some preop through day two. I don’t have any pics with the design yet. I’m going to speak to Arocha’s office and see if I can get my hands on the hairline design. -
hasson and wong fue 3200 grafts
thebossman replied to thebossman's topic in Hair Restoration Results Posted by Patients
went into the clinic today for some shots from dr. hasson to treat the affected areas, everything went smooth. will check back with them in 4 weeks! just time to wait now. thanks for reaching out and taking care of me hasson and wong -
Dr. Jerry Cooley - 4103 grafts (FUT) - 11 Dec 2017
UKLad81 posted a topic in Hair Transplant Experiences and Surgeon Reviews
Hi folks, I just wanted to share my recent experience following an FUT procedure with Dr Jerry Cooley yesterday. I apologise if this post is long and detailed but I took a lot of value from all the various posters and wanted to give the same back. Days leading to the procedure I had been speaking to Cooley’s clinic in September and had various conversations with Lollie as well as telephonic conversation with Dr Cooley himself. After speaking to them both I kind of knew that this was the clinic I wanted to go with. I paid a deposit at the end of October for a 4000 FUT procedure. During the lead up, I must admit it was a mixture of emotions and last week was possibly the worst. At one point I just wanted to cancel and not go through such was the nerves and anxiety. But ploughed through it and as the day got closer the more excited I felt. Travel to Charlotte from LHR Some of you may be aware the UK experienced snow fall which as per usual played havoc with some of the outbound flights. I was due to fly out at 13:30 and came to know in the morning prior to reaching the airport that the flight had been delayed to 14:20. 14:20 came and there was still no news about what gate to go to or if the flight had been delayed or even cancelled, despite repeated attempts to find out information from the relevant information desks. Finally, we were given a gate and told to expect to take off at 16:30. We boarded the flight around 17:00 and didn’t take take off till 19:30. Which meant we didn’t arrive in Charlotte till 23:30!! Immigration control was no issues, just told them I was here for vacation and they asked some additional questions such as “where I am staying, how long, what I do for a living, how much currency I have etc?”. Breezed through with no problems. The clinic had arranged for us to be put up in the Hilton Garden Inn which is about 20 mins or so from the airport and approximately 5/6min drive to the clinic. Day of procedure I was advised by Aileene to be at the clinic at 7am. The hotel offers a shuttle bus and because of the late check in they were unable to schedule this for me at short notice, so had to get an Uber to the clinic. Arrived at the clinic and was greeted by Stephanie and taken to a room where I was asked to complete the normal paperwork. These were actually sent to me prior so I could’ve made my life a little easier by completing these prior to arriving. Stephanie was very kind and didn’t make an issue out of this. She was very calming and friendly. Once the paper work was completed, I was asked to choose some movies (like most clinics they had a large range) and also lunch (again loads of options and if anyone is interested I had a turkey panini wrap). Once this was all done Dr Cooley arrived to greet me. Following an initial conversation about goals etc I knew this guy was top notch, such was his confidence, personality and straightforwardness. I had my photos taken and the hairline drawn not that there was much to draw as I already had frontal tuft it was just a case of bridging the areas which had been lost. He looked at my donor and said it was excellent and that laxity was very good. We both agreed that the frontal third would be the most dense and continuing in to the mid-scalp area with less density and also shrink the crown outside in but not completely fill. Once this was all agreed, I was given my meds; antibiotics, valium and two prednisone’s (these are to help reduce any swelling). Once that was done, I was taken to the room. The room was exactly how I expected it to be. I had previously watched Joe Tillman’s visit to the clinic and if anyone wants to see it, take a look on YouTube. My hair was then slightly shaved where the strip was due to be taken. At the same time Brandy was taking my blood pressure. It was a little high, not sure why as I was super calm and excited. Anyhow, I was asked to lie face down on the chair for strip removal and was also given something to calm me down. After this was done I don’t remember much. I vaguely remember the anaesthetic shots and these were not as painful as I thought they would be. After this I must have dozed off as I cant remember anything thereafter. I do remember it was around 08:30 when I was asked to lie down. I woke up later and asked for a rest room break (I was literally bursting!). Dr Cooley advised that it wasn’t an issue as he was almost done closing the strip. I got up and felt a bit light headed, so sat down, I looked at the time and it was 10:30. Dr Cooley advised that it was a straight forward removal and there was no heavy blood loss or any other issues which I was very happy about. The strip was closed with sutures. After the rest room break Dr Cooley and Brandy started to make the incisions in the scalp and at the same time I think I counted six technicians in the room doing the graft dissection. I felt absolutely no pain at all during this process. I just had my headphones in and probably nodded off a couple of times. I cant stress enough how painless everything was so far! Time for lunch around 12noon. I asked Dr Cooley how the work was going and he mentioned that they had done around 2000+ incisions and would be inserting the grafts after lunch. We broke for lunch for about 20/30mins or so. I ate and at the same time was talking to the extremely friendly technicians. After lunch the work continued and at the same time I was watching the selected movies. Don’t really remember the first two films. I had selected the Batman series and I do remember during the Dark Knight, Dr Cooley saying a few dialogues which I found pretty funny. Dr Cooley and Brandy meticulously inserted the grafts for the next 7 hours. Yes it was that long but this is purely down to both being perfectionists. One thing to note the anaesthetic shots (I actually don’t remember where these were placed in the front, I assume around the forehead area) but a couple did hurt just slightly but literally lasts for 5/10 seconds. It really isn’t that bad at all! During the latter part of the procedure I was quite alert and conversing with both Cooley and Brandy. They are both amazing people and extremely friendly to talk to. They actually bounce off each other was really refreshing. I did joke with them that they are like husband and wife which they found quite funny! The last hour was probably the most discomforting mostly because I had been in the chair for almost 11 hours and my shoulders and neck were getting pretty sore. Again I ploughed through. We eventually finished the entire procedure around 20:30ish. I asked how many grafts I got and was told over 4000 which I was really happy about. Post op pictures were taken and I was shown the back of my head and the top. I was slightly nervous about strip and where it was being taken from and if it would be visible. I can honestly say that Dr Cooley and Brandy have done a fantastic job as I couldn’t find it at all. The top of the head looked pretty good considering I had over 4000 grafts inserted. I was given my post op instructions, shampoos, meds, my post op ATP spray which I needed to spray every hour and every 2 hours when sleeping for the first few days. Dr Cooley showed how it is to be done (very simple!) and he asks to put a cling film type thing on top immediately after to help with healing, keeping the grafts moist and for the spray not to evaporate. He calls it the ‘green house effect’. Once back at the hotel, I sprayed as instructed even through the night although not every hour, every two hours in fact. In terms of pain, I feel minimal pain around the strip. Out of ten, I would rate it a two/three. I’ve honestly taken a pain killer since the procedure and today is the day after. The strip area does feel numb which I fully expected and also expect this to subside over the coming weeks. Post-Op Day 1 As I said earlier I took a pain killer in the morning as I was expecting the pain to increase. However, after the pain killers had worn off I still felt the same, no increase at all. Since then I have had very slight plan on the left hand side of the strip. The rest of the donor area is still numb but pretty comfortable. I did notice minimal swelling above my eyes, nothing like what I have seen on the forums and defiantly nothing major. Dr Cooley advises to take two prednisone’s the following morning after the procedure which I did and the has gone down. As also mentioned above I’ve continued following Dr Cooley’s post op instructions in spraying the post op ATP spray every hour. I also got my hair washed at the clinic and what can I say, the work looks extremely clean. Just a few blood spots but generally it looks just how I expected the work to be. Amy who washed my hair even mentioned that she found it difficult find the scar as she needed to put some antibiotic cream on it. This was refreshing to hear! Dr Cooley came in after the hair wash and checked things over and he mentioned that all looked well and that it looks exactly how it should be. He also mentioned me as the ‘model’ patient as I barely moved in the surgical chair and also kept the whole team entertained (while I was awake of course!)!! I did ask how many grafts we managed to get and he advised that the final figure was 4108. I’ll get the break down later this week and will share. He also mentioned that he could get another strip of about 2000-3000 if needed and some FUE grafts after that (again if needed). Dr Cooley also recommends a Help Hair whey protein shake which I purchased and have started to take this as well. I just felt it cant do any harm. Any how the day has been pretty comfortable and very pain less. To summarise my experience so far, I’ve definitely had a great experience with Cooley and his team. They all work extremely hard and are very meticulous in everything they do. Cooley (and Brandy) is a perfectionist and wants everything to be 110% correct. I know the whole team has put in 110% effort so that I can achieve the desired result!! Dr Cooley and Brandy were by my side every time I would look up and I probably remember Cooley walking out for a short while but I am 110% confident that he was there and doing most of the work throughout the day!! It really does ease any anxieties when you know the lead doctor is there playing a pivotal part during the procedure and being so heavily involved! I’m on my iPad and will be receiving a CD with post / pre op photos which I will update later this week. I have some on my phone and again I will post later (just need to blank out the face). If anyone has any further questions, please feel free to ask here or PM me. Apologies for the long write up, I hope anyone considering Dr Cooley and his clinic finds this useful. If anyone is due for a procedure in the next forthcoming days with Cooley, I am staying at the hotel until Sunday and am more than happy to speak to anyone! -
Dr. Diep Q&A Interview Part 3 Finale
Melvin-Moderator replied to Melvin-Moderator's topic in Hair Restoration Questions and Answers
It boils down to one thing genetics. I mean I was very healthy, exercise 5x a week. Clean diet, supplements etc and still want bald. He’s a fan of Dr. Wong, he’s mentioned to me in discussing the industry who he feels is doing good work. Also, Dr. Umar for BHT. If I had to guess he’d probably go to Dr.Wong. Luckily, he’ll never have to choose cause he’s blessed lol. -
FUE crown advice needed - 2 yrs after 2000 grafts in Australia
jay87 replied to jay87's topic in Hair Transplant Experiences and Surgeon Reviews
Hi @Raphael84, thanks for your reply. I'm 31 and some surgeons tell me I should only use 350 grafts to fill that area (which seems way too low). I've also had others tell me 1500 more grafts. If I measure the bald area, the yellow drawn banana shape (in picture 2) is approx. 8cm x 3cm = 24cm2 | 24cm2 x 20 grafts = 480 grafts. Then adding more density to the right side 'triangle' shaped yellow area above the banana shape is 3cm base & 5cm height = 7.5cm2 | 7.5cm2 x 10 grafts = 75 grafts. Next to that is a small rectangle area, which may or may not need an extra 10cm2 grafts added for density but let's not include that for now. 480 + 75 = 555 grafts in total for hair transplant #2 to bring my total crown and vertex area to 20 grafts cm2 with full area coverage. 20 grafts per cm2 is technically classified as 'low density', but as long as my hair is no shorter than a 3 blade the hairs should group together when I brush (since there would be full coverage) to cover the area to a fair cosmetic extent. I understand that 40 grafts per cm2 would give me the same visual density coverage as the front, but keeping in mind my age and the fact that I've already used 2000 grafts, I think the 20cm2 density (with artistic angling and placement by the surgeon) will at least get rid of the major bald patch people see when I'm sitting down and they look at the back of my head. I have come across these photos from Dr. Wong's patient results page on this forum. 846 FUE grafts he used to get an exceptionally good cosmetic result in my opinion. And considering I don't need to fill to the same length as this patient (who goes further up towards the top of his head) as well as the fact I already have grafts in that area from hair transplant #1, it seems fair to me that 555 grafts should work? -
Hi everyone, Have been around the forum for some time now, and have seen the pre-screened physician area, but am hoping for some advice and referrals of surgeons who have been getting good results for FUE crown procedures. I’ve already had a 2000 grafts FUE crown hair transplant in Australia but am unhappy with the results due to low density. The doctor didn’t even focus on my crown and blended way too far into my existing hairline! 2 years later and my crown is still thin. After speaking to all the main hair transplant surgeons in Australia, I have concluded they are all low quality and shady. Therefore, I’m prepared to go overseas for my next procedure. North America is convenient, and I’m impressed with gallery pictures from Dr. Parsa Mohebi as well as Hasson and Wong. I’m thinking 500-600 FUE grafts (up to 1200 hairs) at 30 grafts per cm2 with an effective crown design should give me a significantly better cosmetic outcome than what I have now? Currently my crown looks ok when viewed from front and sides but looking from top and back it still looks quite thin/bald and that’s what I’d like to fix. Being in my early 30s and not on any medication (except PRP) I’m hesitant to use too much donor area since I haven’t touched my front hairline yet. Even though my hair loss seems stable and I have good density/coverage at the front, who knows what further procedures might be needed in the future. I’ve attached photos of: The day before my first transplant The day after the first transplant (showing in yellow where in my opinion grafts are still needed at a minimum) 3 x pics of my crown now 2 years post-surgery Appreciate any comments and feedback. Thank you.
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Dr Wong / FUT / 5319 grafts / 6 months post-op
H & W Doug posted a topic in Results Posted by Leading Hair Restoration Clinics
Patient from Vancouver now in his early forties originally came to see Dr. Wong in his mid-30’s mostly concerned about his hairline and thinning in the crown. In his first procedure, Dr. Wong addressed the hairline, frontal zone and parts of the mid-scalp while also increasing the density in the crown. Dr. Wong and team initially placed 3812 grafts of which 1081 were single hair grafts, 2561 were doubles, and 170 were 3-4 hair grafts. The transformation served him well and he was very happy with the result for a number of years. Around 6.5 years after his initial procedure he decided he wanted to slightly lower his hairline and further discuss any other possible areas to improve. He and Dr. Wong then decided to also add a little more definition to the temples and increase the density of the crown. 1507 grafts were then employed to these areas of which 486 were singles, 808 doubles and 213 were 3-4 hair grafts. These photos were taken only 6-month post-op from his second procedure with more improvement to come. We didn't have a good 3/4 pre-op pic so I put 2 post-ops here imed post-op from 1st procedure imed pre and post-op from last procedure -
Looking for advice for choosing where to get a hair transplant done
Jhonny replied to ThomasMatthews's topic in Hair Restoration Questions and Answers
For FUE, H&W quoted me $9.6AUD per graft whereas Devroye, Lupanzula, Lorenzo from $3.9AUD to $5.3AUD, not quite the same in my case. Maybe Dr. Wong didn't want me and scared me away 😉 -
RAHAL 3082 FUT 6 month progress report (with pics!)
bman3082 posted a topic in Hair Restoration Results Posted by Patients
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. -
Top 5 hair transplant surgeons.
HARIRI replied to Upshall's topic in Hair Restoration Questions and Answers
Dr. Bhatti (FUE) Dr. Erdogan (FUE) Dr. Lorenzo (FUE) Dr. Bisanga (FUE) Dr. Wong (STRIP) -
Help me Decide my FUE - Hasson & Wong Or Dr Feriduni ?
HARIRI replied to ahmeda87's topic in Hair Restoration Questions and Answers
Dr Wong is the most impressive in my opinion however when it comes to strip only. Feriduni in my opinion is more professional in FUE and a very caring sweet person. I was planning to do my FUE session with him however I changed my mind and decided to do it with Dr. Bhatti as he is more convenient to me. So bottom line if you are considering FUE strictly then I could recommend Feriduni. -
Looking for advice for choosing where to get a hair transplant done
Melvin-Moderator replied to ThomasMatthews's topic in Hair Restoration Questions and Answers
Hasson and Wong and Dr. Rahal are definitely worth checking out and they’re both in Canada. -
Recommendations for FUT
Melvin-Moderator replied to GEazy's topic in Hair Restoration Questions and Answers
This sounds suspicious, where are these sources? I have met with Dr. Wong himself and he specifically suggested FUT. I would take what an anonymous poster says online with a grain of salt. -
4065 Grafts Dr Hakan Doganay! Australia To Turkey!
Cap88 replied to Mickeydw's topic in Hair Restoration Results Posted by Patients
Konior, Hasson and Wong, and Shapiro are top FUT doctors. I'm sure there are more, but those are the ones I'm familiar with. I think Dr. Feller, Bloxham and Cooley are pretty good too, but I haven't done that much research on them. If you do another big FUE session your donor area is most likely gonna be done, but if you opt for FUT you're still gonna have areas above and below the scar to take from. It's pretty simple math. Plus, FUT is cheaper if money is an issue for you. -
Top 5 hair transplant surgeons.
Aftermath replied to Upshall's topic in Hair Restoration Questions and Answers
While I don’t doubt Dr. Couto is an excellent surgeon, one thing you have to take into account is that 90% of his work is on Spanish patients who have just about the best hair to transplant. Not saying I wouldn’t put him top 5, but that’s an important factor. Dr Lorenzo also deserves a mention Dr Hasson is my personal top pick for obvious reasons Dr Wong is also up there Dr Konior seems to be another great and surgical surgeon I agree with Dr Ferudini also Dr Shipiro x2 Dr Alexander Dr Diep That’s probably my 10 personal favourites not in order, my top 3 in order would probably be 1)Hasson 2)Konior 3)Lorenzo/Couto -
One Year Post-Op Donor Area still sensitive ?
Rdasilva604 replied to Rdasilva604's topic in Follicular Unit Extraction (FUE)
Here are some updated pics, nothing has changed since about 5.5 - 6 months. Let me be clear, I think Dr. Nader is extremely fair, professional, and nothing short of awesome to deal with. I really wish this worked out better for me, however; I did expect a better result and am disappointed. I definitely would like a second procedure and will be looking to head to Turkey when the time does come. I still have a slight itch/irritation in my donor area, although it healed very well and there is no visible marking. I wonder why this is? It’s extremely annoying, and makes me regret not going somewhere like Hasson & Wong and having it over with in one shot. I know people will object and say “dense packing in one session is rare” but to each their own. I don’t believe anyone should have low expectations, otherwise what’s the point? This is 13 months post-op, I hope this helps anyone debating a procedure. I took dry and wet photos within an hour of each other, it does really change the way the results look. -
Recommendation for Repair Surgery
JayLDD replied to chicago2017's topic in Hair Restoration Questions and Answers
Dr. Wong does some of the best crown work in the world, I'd likely consider him over Konior for this specific case on basis of the types of results they produce, especially considering Konior's extensive waiting list I'd say its a no-brainer. Got to be the funniest list of options I've ever read though. One of the most highly regarded (probably most in the US) and meticulous surgeons in the world, an industry pioneer and the most referred to speciality crown surgeon globally, and then the dude who gets his license suspended for claiming he is Jesus Christ and attacking a patient. https://www.tennessean.com/story/news/health/2014/11/25/hair-transplant-surgeon-claims-jesus-attacks-man/70123254/ -
Recommendation for Repair Surgery
Pete-from-Farjo replied to chicago2017's topic in Hair Restoration Questions and Answers
I'd say 2500-3000 grafts would give you nice coverage. I've always been impressed by Dr. Wong's crown results and you won't go far wrong with either him or Konoir. -
Nadimi vs H&W vs Rahal - Consults
NoMoreHats111 posted a topic in Hair Restoration Questions and Answers
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. -
Best hairline specialist between these top 3?
HairLossMentor replied to Arthur555's topic in Hair Transplant Experiences and Surgeon Reviews
I would also add Ron Shapiro to the list. Outstanding hairlines. Very natural. He is more of a 2-pass for density, which is not a bad thing. I actually find that the more experienced the doctor gets, he/she is a master at creating the illusion of density, less is more. @Gasthoerer re: Density in one pass - H&W ...I always like to differ the two. Wong vs. Hasson. Dr. Wong being by choice for "crown and one-pass." I actually sent my cousin to Dr. Wong. Thoughts? -
3550 FUE Nader Mexico and general lessons learned in HT
txtransplant posted a topic in Follicular Unit Extraction (FUE)
57 days out of a so far good experience with Dr L. Nader. This post will have results, experiences, opinions on my procedure and the process in general. 1) Decision. Early 40's male with slow progressing hair loss since early 20's and at time of procedure guessing a NW5 . Still had enough hair growing across the bridge of my head for some passable comb over action. Hair loss comes in waves somewhat. And this last wave over the past 3 years it went from presentable. to really thin and debatable if the comb over was helping frame my face, or looking kind of like I was holding on and trying too hard. Basically that point we can all see in other guys when we can safely say they look better just buzzing it and owning their confidence again. Funny thing is we don't see it easy in ourselves. To that end we have all seen men here completely failing in this department. I watched several guys here who looked really handsome with a little receding hairline rush and get a new one only to look less manly and detract from their looks. Granted, most guys benefit hugely from the front center being there, but sometimes high temples look better with certain guys and they screw it up. Bit the biggest fails I see here are the older guys who overdye and get too aggressive trying to see themselves at 20 in the mirror and it looks BAD. Or the flip side is they get some little tuft of hair three inches too high. It looks good to them, but they would look so much better just shaving it off and waste huge money on a look that hurts their looks. ASK PEOPLES ADVICE. I was lucky that I have a few really attractive female friends in their late 30's and early 40's and got some feedback. All said the same things! First is they really don't look at guys hair much unless it is bad. Kind of like how women notice each others nails and makeup but guys don't really focus on that. But let's also be honest, some people look good bald, but most look better with hair. A HT isn't going to make you go from a 5 to a 10. But like clothes, really bad hair can ruin you. If it is stringy and receding bad. man up and cut it off. Or if you are a good candidate and can really make a nice look, go with the HT if you can afford it. But only if it really can improve your look. Go bald or have it restored to at least a convincing mature hairline. After looking at 10,000 results I can say anything less will only make you look worse! To that end, I gave up the struggle with creative combing, hair spray and shading makeup (works great for once in a while when you want to look your absolute best). I cut my hair to about one inch. I hated it at first. Never had it like that before. Crazy thing is after a few weeks of getting used it it I knew I looked a 1000x better. All my female friends I asked were crystal clear they thought it was great short and was an improvement. I know I looked more bald, but confidence is sexy and I looked more confident . even if I didn't feel it. I always thought I would never have the kind of face or head that looked right buzzed. But turns out it's probably in my head and a lot of guys too. I only cut it short to prepare for the HT and see how I liked it since it was going to get cut off anyhow. I grew to like it. Not sure I will choose to grow it back to the 3-4 inches it was ever again. 2)Decision made, now what? So I am not a rich guy. But I always said when my hair got to the point where I really felt it was an issue, I would look at getting FUE. NEVER FUT. Month's of research and for the life of me, unless you are a NW6 who want's to absolutely push graft numbers to the limits, why would you ever let someone meat clever your head and get a huge scar. DON'T DO IT unless you are in that tight spot going for broke. Even then I think it is foolish. Two big decisions to make. One was what surgeon and two, how much needed to be done with a FUT procedure. I could not afford to use one of the top 10 big name clinics in the world. They have a huge proven track record of a high rate of good results and are the obvious choice if you have $20-40,000usd to spend. And with so many results you can see each doctor has a look that they strive for. Some are dense hairlines, some maximizing donor grafts for the best overall look. All are good, but pick one who's style you like and you have made as safe of a bet as you can. No Dr. hits a home run every time. Even the best. But odds are ever in your favor! HT is not rocket science. I see tons of guys disappointed for different reasons. Sometimes it is a medical failure, but usually an issue of unrealistic expectations, surgeon skill and lack of homework. After having looked at 1000's of results I gained some wisdom. The math does not lie. To get the density I wanted over the area that I wanted with the hair type I have I knew I needed 3,500 Grafts. The numbers are simple really, but ignored by most. The average patient with average thickness hair and average of 2 hairs per FU needs 40-50 follicles transplanted per cm2. installed in mostly bald areas. That is the minimum to have hair that does not look blatantly thin to the average person in front of you. It would probably not look right on a 22 year old, looks okay on a 40y old and up. Now, if you have jet black hair on a white guy, going to need more! It is not hard to measure. I did the math and knew what I needed. Now to find the right Dr. 3) With my budget in mind, I set out to explore the lesser known options outside of the superstars. This is where it gets murky. Even the 2nd tier surgeons in the US are pretty expensive. Some are for sure second tier because they don't do as good or as reliable work. Others are maybe up and coming and making a name for themselves. You can make your own decisions there. Then there are the 3rd tier places. Basically every city is full of plastic surgeons who will do a HT for you. But unless this is what they do, and all they do, STAY AWAY. It is a very skilled thing and needs a well oiled machine of a team. But for guys who are on a limited budget there is another option. Getting your HT done in a lower cost nation. Turkey is the superbowl of that. If you are smart and do your homework, you can get a world class HT done there at a fraction of the cost. But you really need to do your homework and sometimes roll the dice. I mean if you have a 95% chance of getting a best case result at a US superstar, maybe you have a 90% there at a good place in Turkey for 1/4 of the price. On a budget, that is still pretty good odds. I was going to get a HT in Turkey. The risk to reward on a budget was the next best choice to a top doc here in the USA. I was about to book a plane ticket when I caught wind of Dr. Nader in Mexico. 4) Why I went to Mexico. Simple really. I found a doctor I felt confident in who crossed all the t's and dotted all the I's I needed for a practice. His results were good (at least at the time I booked) and of course it was much closer than Turkey. I rented a car and drove there in a day. And of course, cost. I could afford 3,500 grafts there. And more importantly felt confident in his practice. To me it was the next best choice after the top USA doctors. So I booked a 2 day FUE with him. 5) Why Dr Nader. I knew I was going to have to get more creative than booking a bankrupting HT with Hasson and Wong. Having researched tons of doctors, medical journals and message boards, I came to settle on this guy for a few reasons beyond cost and location. He does the extractions and incisions himself. In other words, no technicians who you know nothing about doing the work. Sure, people can be trained and you go with the reputation of the practice. But even better if you know for sure someone who has done this 1000's of times is behind the punch putting 1000's of holes in your head. He has the right staff. Dr. Nader had 5 nurses/techs working with him on my procedure. He used a .8mm punch He limits how many grafts he does a day and only sees one patient a day. Very important and a real sign of quality. His website is lacking and marketing is non existent. But with some real effort you can see he had the important things you look for on paper with a good HT surgeon. At the end of the day I really had to look at results. His results are poorly documented. Considering he does this every day and has for over a decade, you would hope for more to go on. But I really had only about 10 results to see. And to be honest some looked mediocre. On the bright side I never saw any negative reviews or bad results. Then came the real hard looks. I noticed every mediocre result was because of low graft counts. Simply put Dr. N was getting really good results with the actual hairs he transplanted, but often patients were not having enough grafts done to start with. At the time of my booking I only could find one person he worked on that had what I would consider a sub-par result. I figured most of the unremarkable results were due to budget. I mean if the patient only has a limited budget, you do what you can and I think he gets a lot of guys who are on a budget. Armed with that information I felt strongly that Dr. N was a good choice and would be able to get the same graft survival rates as any top doctor should. I will add that right at the time of my procedure several new cases came to light here where his results were week even when the patient had enough grafts implanted. So I kind of got nervous. Though even those results were not failures. But they were not home runs either. One guy may just need more time, the other looks like maybe 60% of it grew. Time will tell I guess. Had I see these before my procedure, I may have gone to Turkey and seen one of the clinics there. It would have been a harder choice. I am glad I saw them after..lol 6)Procedure. His office is 2 miles from the USA. Really no big deal and he sends a car. Nice office. Everything they say about the man here is spot on. He is kind, professional, knowledgeable and you can not help but feel in good hands and like the guy. Very down to Earth. We talked about my goals and what we would be working towards. He also talked very candidly about his own struggles with hair loss and why he chose this profession. Even some American doctors who he knows personally as he is active in the community of HT surgeons. I also learned quickly why many of his results look thin. It really comes down to each surgeon is a bit of an artist too. His aesthetic is very conservative. To say he is NOT money driven is an understatement. He tried to convince me I only needed 2500 grafts even though it would still take up the two days I was booked for. So he would have lost thousands of dollars because he was advocating for me and what he felt. He could have safely transplanted the 3500. He just said it was not needed to have a nice result, and save my money. So two awesome things there, One, you start to realize this Dr. in his mind thinks thin hair looks age appropriate. There is no right or wrong there. Two, he proved to me that he is not money driven, but results and compassion driven. Regardless of my final result, I completely respect and feel confident in his ethics. Ultimately I was steadfast in wanting to get the density I was aiming for and knew I needed to hit for the look I wanted (low 40's per cm2). He agreed to implant to a as high a density as possible where we were still 100% safe and not pushing it. We ended up with about 500 extra grafts since I was insistent on harvesting 3500 and he truly didn't know how dense he could pack safely till implantation started later. So we put the last 500 in the crown. He also ended up with about 100 more grafts than I paid for, but told me not to worry about that. Very classy operation. Procedure was over two consecutive days. Not painful and pretty standard for a HT. Each session of about 1800 grafts took about 6 hours from first punch, till last implant. That's well within the safe zone time wise. He also uses a upgraded storage solution, but only mentioned it when I asked. These are things he could easy market on his website or cheap out on techs. Nope, he just likes what he does and cares for his patients. The first night I took some Advil. Night of 2nd day or surgery I didn't even have to take anything. It was as pleasurable and painless as you can hope for. It is really not fun though and let's not sugar coat it. But not so horrible you can't watch TV or grit your teeth and get through it. At the end of the two days we had implanted 3588 grafts. Nearly all were 2 hair grafts. My hairs according to him were on the thicker side of average. I have average donor density in back, so I probably have 2-3000 or so in reserve for the future. Most of it went into the frontal 1/3 and quick math shows we implanted at a density of about 43 grafts per cm2. We went with a fairly conservative hairline that we agreed looked good. Though he felt I could have left it about 1/3 inch higher on my forehead. I wanted it a bit more forward and that's what he did and I don't regret that. -
Help me Decide my FUE - Hasson & Wong Or Dr Feriduni ?
Melvin-Moderator replied to ahmeda87's topic in Hair Restoration Questions and Answers
You'll be completely bald by the time you get an appointment. Who's results impress you the most? Forget about distance and forget about money. The bottom line is the results. If you like Dr. Wong's results the best choose him. If you like Dr.Feriduni's results the best choose him. Personally, I'm really impressed with Dr. Reddy in the UK. I would probably add him to the list if I were you. -
Help me Decide my FUE - Hasson & Wong Or Dr Feriduni ?
ahmeda87 replied to ahmeda87's topic in Hair Restoration Questions and Answers
Hey all, getting super confused now. Wong Feriduni Dr Lupanzula Dr. Juan Couto, ahhhhhh who to pick? am I over researching now? -
Help me Decide my FUE - Hasson & Wong Or Dr Feriduni ?
home1212 replied to ahmeda87's topic in Hair Restoration Questions and Answers
I was going to go with Dr. Wong in 2014 before H&W was doing FUE - instead went with Rahal who was already doing FUE at that time. You undoubtedly chose an excellent surgeon - good luck on your journey, should be exciting! -
Disappointed…
HairLossMentor replied to HairLossMentor's topic in Hair Transplant Experiences and Surgeon Reviews
Maybe we need to be clear on "budget"... Note: I'm not taking about Turkish doctor's like Dr. Koray for example...he does good work...and is not budget. He can (and does charge) comparable to $5-$6 CAD graft because he can. I'm talking about these $2000 clinics popping up all over Turkey. Not a chance you can get the same result as Wong Rahal, Shapiro, Koray with these hacks. Research a little more I know first hand that "repair cases" make up 10-30% of north american clinics now, mostly fixing botched jobs from Turkey. It's so bad that doctors describe it as a "wave of bad results." Just last week I met a kid who spent $2000 on a budget clinic only to get botched. He has NO options. What can he do? Sue the doc in Turkey? Guys need to know that. A good read... In Turkey’s cutthroat hair-transplant tourism industry, the biggest losers are the patients and Syrian refuges, https://qz.com/954680/in-turkeys-cutthroat-hair-transplant-tourism-industry-the-biggest-losers-are-the-patients-and-syrian-refugees/ 100% agree!
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