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  1. I recently had an 800 graft procedure with Dr. Diep and was absolutely shocked when i took my bandage off of my recipient area. I was expecting a MUCH smaller donor region. The holes in the back of my head represent a much larger procedure. In fact, i painstakingly counted between 1300 and 1400 holes in the back. Can anyone tell me why there would be so many more holes in the back than agreed upon 800? The main reason I went to Dr Diep was to get great results from less graft count (thus smaller donor region). I like to wear my hair very short in the back but i’m terrified that those days are gone. I am sad, confused, and feel so horrible about my decision to get a transplant at all. The last picture is my donor region on the 2nd day. it looks a little better but i am so scared that the back of my head will look terrible for the rest lf my life. Someone please provide any words that you can. Really trying to stay positive about the situation.
  2. Let me start by saying that Dr. Diep does not perform place the grafts!! EDIT: From discussion, seems that 90% of clinics, the surgeon does not place the grafts. Assistants do this. And it is standard operating procedure. The above sentence has been updated accordingly as is the post's title. From what I can relate his asstants do it. I'll detail the rest of this process here with pictures and my objective thoughts (insomuch as I can be) here for any others. The jury is still out and I'll reserve the recommendation for others to go to Dr. Diep once I get to through the 12-month post op cycle. Ultimately, it is about the final result. But I'll detail everthing here so others can make informed decisions. Let's start with the hi-level details: Procedure Date: 7/24/20 Gender: Male Ethnicity: Southeast Asian Age: mid-40's Hair-type: Fine straight black Procedure type: FUE 2250 (original estimate), 2337 (final graft count) Cost: $8/per graft ($18,696 total cost) Finasteride - Started May 2020 (once daily @1mg) Minoxidil - Started May 2020 (twice daily to vertex) At the time of this writing, I am 4 days post procedure. The Free Consultation: I initiated contact via the website on 11/3/19. Recieved a confirmed appointment about a week later for 12/26/19, the day after Christmas. 2-month wait period just to speak to Dr. Diep. We discussed FUT for FUE. Being Asian and that our hair tends to grow perpendicularly from our scalps, FUT isn't really an option. Other ethnicities with fine straight hair, growth tends to be perpendicular from the scalp radiating from the vertex. You are luckly in that the FUT strip scar can be hidden better by the way your hair grows from the scalp. But it was FUE all the way for me, being of Southest Asian decent. He drew the proposed hairline with a pen which I was fine with. Mentioned that he would be filling in and blending with my current hairline. I was also fine with this. He explained some payment options and financing. He asked if I was on a restoration plan already or have taken anything to combat hairloss. The answer was no, for which he seemed pleased. I had to ask for a Propecia prescription as he did not offer it. After I raised the subject of propecia, he did tell me where to get it for the best cost savings: Walmart $7/month & Costco $6/month. He said he would have the prescription sent to a Walmart/Costco near me for pick-up. It would take a few days (maybe a week) with me following-up by email before his staff sent the prescription to Walmart near my house for pick-up (I live about 80 miles away from the MHTA clinic). Ultimately, I had trouble getting it fulfilled at Walmart. I ended up getting my Kaiser Dr. to write me a prescription. I feel Dr. Diep should have offered the prescription during the consultation, and he should have written it so that I could just take it in. He gave me a number of the grafts estimate 2200-ish. I asked, "Is that a lot?". "It's a good amount." He responded. "Will you be able to harvest that much from the supply?" "Yeah." Afterwhich, I was lead back out to the lobby and was told when my procedure date would be: 7/24/2020. The only way I could gaurantee that day was if I put down a $1000 dollar deposit which was non-refundable after 1 week. I paid for the deposit then asked if there could be a sooner opening. His office assistant told me that there would always be opportunities for an ealier procedure as folks drop out. Then was asked how much notice I would need before hand to be ready for the procedure. "A month would be best." She asked me to shorten it to a week. I told her I would need minimum 2 weeks (request time off work and procure funds). She said, "Ok. 2 weeks then". Then I was passed to the money lady who took my deposit payment, handed me my financing options, and away I went. The consultation was brief but I did feel good about it. Post-Consultation Follow-up (12/26/19-till-7/24/20). Early Procedure Opportunities Little if any contact is initiated from MHTA. Emails with payment reminder notifications mostly, some spatterings that follow-up dicussions with Dr. Diep were available through Skype appointment. COVID-19 hit between my consultation and the date of the procedure. Before the pandemic really hit, I had two early procedure opportunities that I was not ready for (mostly due to financial constraints). By this time anyway, the non-refundable $1000 deposit was lost to me. Ultimately, I had to wait the almost 8-month period of my original procedure date. Full payment was due 2-weeks before the procedure, which I was able to make. Some slight issues with charging the amount to the bank requiring the payment to be split up into two transactions. MHTA took care of that (of course they would, right?) But each time I called in to ask for information to confirm my procedure date/time or to ask a question, I was always told they needed to call me back. Which would be a up to a day later. This tells me that MHTA has a terrible organizational system. Definitely, this statement I am making is a criticism. Also, this would manifest again on the day of the procedure which I shall detail later. Day of Procedure: Finalizing the Business Stuff The call time was 7:30am sharp. I walked in right on time and entered into a seemingly empty office. Some 5 minutes passed before I someone came to attend to me. Then I was asked for my name, which I found odd. The person attending to me then searched through a stack of papers before saying. "Ok, Mr. ----. I need you to fill out these papers. We will be serving lunch to you. You can order anything but no spicy food, no caffiene, and no carbonated drinks." I should have been greeted with something like, "Hi! Are you Mr. ------?" but I was not. You would think the staff would at least be prepared enough to know who was on deck for an operative procedure that day but that wasn't the case. I was put off by this. The papers that needed to be filled were mostly about allergies to medicine. If I would like two additional recovery treaments at a $600 price each. If I would allow them to shave my head (I answered no, but should have answered yes). If they were not able to harvest through FUE, if they could take grafts from a FUT procedure (I answered no). If I the grafts that I already paid for were not sufficient, would they be allowed to extract up to 100, then 300, or leave it to Dr. Diep's to figure out; a blank check of grafts if you will (I originally answered no). Then there were the disclaimers. No lawsuits. Agree to arbitration. Mind you, I've already paid for the procedure. Don't you think this sort of stuff should have been brought up for agreement before hand? About an hour after I arrived, I finally was able to see Dr. Diep in his office. We had to cover business stuff. I relented on some of my original answers and allowed him to harvest beyond the estimated 2250 grafts (In the end, 87 extra grafts were extracted for a total of 2337 grafts). Honestly, I understand the graft amount is an estimate. But I feel this is some corrupt auto industry-type billing. A trained doctor should be able to give an estimated range to the patient. If under, then the patient should be due some money back. If over, some transparency would go a long way to fostering confidence for the patient to at least know what they are up against. This running up billable hours/events practice is off-putting. I am pretty sure, no one has left Dr. Diep's office with a windfall. Before I was lead out of his office, there were two final things that I found peculiar. One was this question: "What do you do for a living?". Then the cocktail of pills I had to take that included Xanax. I stupidly answered the question. Then later realized that it could be used to run up billing/hours events. As for the Xanax, I've lived a wild life and know what Xanax is used for recreationally. I would find out later why it was given to me. Day of Procedure: Operations Prep I was given a smock to change into. Then directed to the restroom where I was told to use it as I wouldn't be able to later. There was no mirror in the restroom. My personal belongings were to be kept in the cupboard in front of the operating chair. Then my blood pressure and temperature were taken. I was then told I could lay back in the chair which was uncomfortable as heck. There were pillows which would have helped, but I was not offered them until I asked for them. I was on the chair for another hour before the procedure started. As I waited, I must have asked if Dr. Diep was with another patient. He was. Then I asked how many procedures they do a day. The answer was 2. My procedure was scheduled for 12 hours. Around 10am, Dr. Diep walked in and asked me if I was ready. "Let's do it." I answered. Then I was wrapped up so my head could be shaved. Regarding the shaving, I understand the donor site must be shaved for extraction. But the receipient site was also shaved back. This would add to the recovery time. Shaving the receipient site is to ease the procedure for the clinic, not taking into account how off-putting this would be for the patient. The entire sides of my head was shaved. The back shaved up to the vertex. The front shaved from the hairline to the vertex. As a man, I wear my hair long, shoulder length. I expected a 90's boy band shave around the sides and back. I was left with a rooster puff/Roman praetorian helmet hairdo, although it was sideways. I did not allow them on record to shave my head bald. And they didn't. But the shave job I was left with effectively rendered me with needing to shave my head all the way on my own after a few days of recovery, which I did. I can't imagine if you are a woman that this would fly. as a man, I am fine with it. But it is clearly a sign of not putting the patient first. The woman that shaved my head would play a bigger part in all of this later. As the shaving is going on, I was given general anesthesia for what I was told "to relax me". One shot to each upper arm. Now the procedure call time was an early 7:30am. I am not a morning person, plus I slept maybe 3-4 hours the night before. I ended up being under most of the time. Then I was told the worst part of all this was going to occur: administration of the local anesthesia which required about 20 needle shots to my forehead and around my scalp. Yeah, it did suck and was painful. But that was no where near being the worst part. The worst part was yet to come. Day of Procedure: Into the Procedure I must have fell asleep sometime after the local anesthesia was administered. But I woke up at some point during parts of the extraction due to pain and discomfort. No biggie. I told Dr. Diep I was in a bit of pain. He told me to let him know if I felt pain. And I could feel him administer more local anesthesia. Then I went under again. Don't know if I was given more general anesthesia. But what needs to be called out at this point is that this was the last time I was aware that Dr. Diep was hands on with the procedure. I did not see him or hear his voice again until the very end. I didn't see him as we broke for lunch. I didn't see him as we returned from lunch. Later when I woke up during the grafting, I did not see or even hear his voice during the most important part of the procedure: the grafting. From what I know, Dr. Diep was hands on only during administration of local anesthesia and parts of the donor extraction. We broke for lunch. Dr. Diep's assitants handed me my food and drink. I finished it. Used the batchroom. Then was lead back to the chair which looked quite awful from the blood and fluid drip. I could feel the blood and fluid drip on my back through the smock. Now I know it wasn't a good idea to be handed another smock to change into as that would risk grafts being yanked out. But at least they could have changed the beddings on the operating chair during lunch. It looked like I was climbing into the pits of a meat processing plant. I went under again after I climbed into the chair. Don't know if I was administered more anesthesia or not. I came to on the precipice of full consiciousness. The Xanax in full effect as the television playing in the background made me utter a silly joke. Then the worst part of the procedure came into play. The joke I uttered drew a response from two female voices. It was then that I realized, the artistry that Dr. Diep speaks of in his Youtube videos and where he gained his reputation and skill from years of experience was not being performed by the board certified surgeon I hired to perform the transplant. The woman that shaved my head worked on my left side. Some other woman worked on my right side. I know nothing of either's qualifications and did not know before hand anyone other than Dr. Diep would be handling any part of the grafting procedure. I asked some question, specifics of which I don't remember. But the answer I received was "Dr. Diep just tells us how the grafts are to be applied and that's all we do." I went under again. Now I know why the Xanax was given to me. EDIT: From discussion with other forum members, assistants placing the grafts into the incisions is done at 90% of all other clinics. So I do feel better now. But that also does not change that coming to know this during the middle of the procedure was the worst part of the procedure. You can read further discussion on this subject in subsequent replies. Finally, it was done at some time around 10pm. I finally see Dr. Diep. He mentions two things: He was able to keep the extra graft amounts to right around 2300 (from 2250), which was good. And he mentioned that I moved around a lot. Then he walked out. His assistant gives me final instructions, meds, head wraps, fluid barriers. As I grabbed my stuff, I found the only mirror in the operating room. It was laying on the counter. A frosted brown tree branch covered parts of the mirror. I could see the some of the early results. It looked good. But I was very disappointed with the shave job. The assistant then walked me out. At this point, some of the misgivings I woke up to by finding that two people other than Dr. Diep had worked on the grafts had been temporarily forgotten. I was just happy the job was over. I drove the 80 or so miles home. I know I shouldn't have but I felt fine and made it home safely. Post Procedure: Day 1-4 DAY 1: Saturday There was significant swelling on the right side of my head. But there was no pain the day after. Just some discomfort. I felt no itching either. I could now have a close look at the job that was done. In looking at the receipient site, I could clearly see the differing result of having two separate people of varing skill worked on either side. The right side clearly shows some grape-vinyard like rows that you would see across a hillside winery. Some of that was also visible on the left side, but less so. The woman that worked on the left side was the one that shaved my head. She must have been the senior-most assistant as her work was better. I have no idea which of the women worked on the right side. But the right side was clearly inferior work. In looking at the donor site, the incisions did not look bad. But I came to an immediate conclusion in that there was no donor grafts left. This is going to be a one shot deal. In looking at the new hairline. I do like the shape and do think it will work with my face. I have a big forehead and head overall. But I am ok with the hairline's arc. I am not so sure about the feathering and naturalness of it. It is very much a line. I am following the hygiene guidelines to the letter. DAY 2: Sunday Swelling on the right side of my face/head began to subside. I am feeling fine. Some discomfort. Lots of secretions still. But less than after the first night. I can't believe I am saying this, but thank God for the pandemic. The shave job they gave me is horrible. Good thing we are locked in. I order a set of clippers from Walmart. They arrive tomorrow. I look forward to shaving off the rest of this rooster top that is left on my head. I am still following the hygiene guidelines. DAY 3: Monday Swelling on the right side of my face/head is almost completely gone. But has flowed into my right eye area. My eye is now completely black & blue, darn near swollen shut. I am feeling fine otherwise. Some tingling. No pain. A random itch here and there. I am taking the swelling and infection meds. Skipping the pain and sleeping meds that I've been given. I am still following the hygiene guidelines. By the late afternoon, I get the follow-up call. I tell them I am fine and am only taking the swelling and infection meds. I'm told the other meds are to be taken on an as needed basis. The conversation quickly goes into the business part. There were 87 extra grafts taken at $8 per graft. An extra amount of $696 which I'd have to pay. I am fine with the extra payment and let Dr. Diep's office assistant know when I expect to make payment. By now I remember waking up to find two people other than Dr. Diep performing the grafts. I want to speak to him to express my misgivings. I am told even a phone discussion is going to have to be scheduled and that he would be out the following week. Or I can send an email in. Nooooo. I want to speak to Dr. Diep. Email is not going to cut it. I want to ask how many grafts can be harvested if I need a follow-up procedure. I want to ask why he did not perform the grafts. I want to ask about the qualifications of the people that performed the grafts. I want to know what the follow-up schedule is going to be like. I hang up the phone. Knowing from experience that it is always best to get things in writing, I call back and ask for a written invoice for what I owe and state I will not make further payment until I receive it. I am told it will be sent to my email. As of this writing a day later, I have yet to receive that final invoice. DAY 4: Tuesday The clippers arrive. I carefully shave what is left of my once shoulder length hair. I am clean shaven for the first time in my life. But am looking forward to using the medicated shampoo to on the receipient site for the first time I drip on lather. It feels good. I gently squeeze lukewarm water from the sponge to rinse it off. In the heat of summer it air dries quickly. I feel some weight off my head. My blackend right eye is getting better. Some bruising can now be seen near my right ear. My left eye is beginning to swell up. No blackening or blueing on the left eye however. I am looking foward to getting beyond Day 7. The sensation in the donor site goes from being mildly discomforting to a near soft heat radiating on the back of my head. It is not warmth that I feel. It is more of a reminder than there are close to 3000 holes poked in the back of my head. ========================================= If you've gotten this far, you can put together for yourself there are some flaws with Dr. Diep's practice. I'll try to be objective as possible so that you can make your own decisions. I'll edit this post with pics shortly. But let me ask for those that have had work done with Dr. Diep, who performed the grafts? Did Dr. Diep do them for you? If YES, are you happy with the results? If NO, are you happy with the results?
  3. Hi everyone, I wanted to consult with you all regarding my hair transplant journey. I live in Miami, Florida and traveled to Chicago where I had an FUE surgery with Dr. Sahar Nadimi one year ago and had 1500 grafts put in. At the time, I already felt I had great hair but wanted to restore my hairline which was thinning in the corners. While I must say, the experience with Nadimi's office was 100% exceptional and my donor area did not even look like I had surgery within a week, I mean seriously some of the best donor work I have ever seen. A year later and what i'm facing is that I just don't like the hairline she designed for me, it does not suit my face, does not replicate my natural hairline and doesn't suit my features. I have a long, narrow face and my hairline is now much wider looking it is straight through the center and naturally, there was a dip in the center and less open in the corners. I would never have anticipated a second procedure, but here we are. I consulted with Nadimi and again and while I like her, she is a bit combative and not in line with what my aspirations are she is also apprehensive about doing any work behind the leading edge of the hairline. Thus, i've decided to consult other doctors- including Rahal, Vories, Diep, Hasson and Wong, Bisanga, Cuoto and Bruno Ferreira. I spoke with Vories and was not thoroughly impressed. I spoke with Diep and really liked him, good guy and hit it right on the head- your hairline does not match your face and is the wrong design- he said this without me even saying a word about it which kind of brought me on board with him right way. I know one of your moderators had a surgery with him but I do have to say while he is my first choice, I am highly concerned with his donor sites, and, I have seen some results that were ultimately bad in the long run- bald spots- you've seen these results as well. I do prefer his hairlines and work to Hasson and Wong. I really wanted to work with Diep but ultimately, I just don't see if this is worth the risk. Hair Transplants are about results at the end of the day but some of his post donor sites are unsettling and I have seen results where there are definitely patchy spots in the long run in the donor area, not that this happens with everyone but I just cannot justify the risk. One thing I really appreciated about Nadimi was how amazing my donor site looked after surgery and how it looks now. Moving on, I am now focusing on Dr. Rahal and Hassan. My personal opinions are as follows, I prefer Rahal's hairline work, I think that Hassan produces more V shaped hairlines which would not be a natural look for me. That being said, I am actually leaning toward Hassan just for the fact that I find him to be the most consistent, I really have not seen poor reviews from him, donor issues or dissatisfied clients. If I could count on Rahal, I would prefer to go there but I have heard of recent dissatisfactory reviews and I have also heard he spends very little time in the operating room- the latter less important to me because it's all about results at the end of the day. But am I going to get a bad result from Rahal? While I like his hairline and work better I just see there being more risk with him than Hassan. I have not been able to find recent reviews regarding Rahal and have actually had trouble finding a lot of photos from his post ops. Also not important to me but not impressed with his reps, annoying. It's crazy to me that in my gut i'm leaning toward Hassan while I am not blown away by his hairline results, there is so much hype around them too. I consulted with Konior and I think he's really the best, he felt that Nadimi produced excellent results and politely suggested I work with her again. I however did not consider Konior due to waiting list and cost (18K for 1500 grafts) other than this price, I am mostly pretty price flexible and wouldn't deem this a top criteria. I am straying from Nadimi for facts stated above and also because her primary focus is not Hair transplants, and I believe it's best to work with someone with a single focus. Will also point out that what is great about Nadimi is that you are getting her and Koniors staff- she's in the room the whole time. Lastly, I am considering Bisanga, Ferreira Cuoto- I frankly am almost at the point of removing Bisanga from my list because it feels crazy to fly from Miami to Brussels for a hair transplant when there are great doctors closer. I also am not too thrilled about the thought of being in a foreign country when healing after a procedure and then flying back a prolonged distance, based off of my experience in my first FUE, it's nice to be comfortable after, abroad could be stressful. I am in process of consulting with Ferreira but I don't' think he has the experience of other surgeons I am considering. I would travel to Cuoto because I think his results are just absolutely insane- yes, they are youtube videos and we have not seen unbiased forum posts but none the less- but none the less best results in my opinion. Trouble with Cuoto is long waiting list of almost two years. Lastly and very important, it is not ideal that you cannot consult with some of these doctors directly- Hassan and Rahal for example only consult through reps, pointless in my opinion because I am now pretty well versed in HT and would like to speak to a DR- this makes the decision increasingly difficult. I think you really have to take all factors into account which makes this challenging, while I was most impressed with some of Dieps results my opinion is he carries the most risk, my gut wants to take a chance on Rahal but the sound, safe and wise part of me tells me my best bet is with Hassan. I am basically putting this out there for any help and experience that might lead me to a decision, ready to move on from this! Thank you!!
  4. I have scheduled my first hair transplant surgery with Dr Diep for next month. I love his results and wanted an FUE from the very first consultation 5 years ago. However, my second consultation 5 years later, he is recommending FUT as my hair loss is really aggressive and said that I would like my results better. He said he could do an FUE, but FUT was a better choice based on how far gone I am. He also said he could do a combo FUE + FUT but that was not really cost effective and he did not recommend it. In light of the above, I was very excited and super happy with the results I see based on his FUT surgeries. However, I started to peruse these forums and noticed that people are saying to RUN if you had to do an FUT with Dr Diep. I read that his scarring is bad and that it was not as good as other FUT surgeons like Hasson. Also that he is way too expensive for FUT. I am now paranoid and I already paid my 1k deposit. I am officially second guessing my surgeon choice and this is scaring me a little bit. Should I cancel my surgery with Dr Diep based on his FUT? I see some fantastic results and feel good about him being upfront and honest with me throughout the process. My gut instinct has always told me that Dr Diep will be the only surgeon for me, but I am now seeing he may be the best at FUE but not great at FUT. I do not want to cancel but these forums are making me second guess Dr. Diep's ability to do the FUT. What are your thoughts on this? Should I keep my surgery booked with him?
  5. I didn’t look at Hasson when I was making my decision, because I felt that his clinic was a bit too conservative in the hairlines that they design. Probably not a smart call in hindsight I chose Dr. Diep because I thought he would be a safe bet given the sheer number of people who have had transplants from him on the forums stretching back to 2015. I thought that if he was good enough for all of them, he’s probably good enough for me. I also was a fan of the density he is able to achieve, which I didn’t really see in other doctors Today, the pattern is pretty frustrating. It looks unnatural and I’m not comfortable exposing that side of my hairline. But then again, plenty of people are unhappy with their transplants at six months. I’ll have a better answer for you towards the end of the year once the hair has had a chance to soften, mature, and grow in any straggling singles. Otherwise it’s not super fair to Dr. Diep to call the results a success/failure before the hair has fully grown in. Now if the pattern remains prominent 6 months from now, then I would definitely cash in the hypothetical card to swap surgeons. Who wouldn’t? lol
  6. If you sent over my photo, I can tell you what he will likely say: it’s too early to tell, and I need to wait another six months before making a final judgment. And he’s right; There is still a chance the singles at the front could grow in. I tried to make that clear in my post above, but could probably have done a better job. As context, I have an ongoing dialogue with Dr. Diep about my current results, and it’s probably frustrating for him to see my photos popping up in his emails from prospective clients. So it goes. I totally understand the urge to do surgery now rather than waiting another 6-12 months. Keep in mind, though, that the results are for life!
  7. @Tentpole91If you knew the pattern would occur with Dr. Diep, would you have chosen Hasson instead?
  8. I have a appt with Diep next year. really not sure if I should go FUT or FUE. 42 yrs old - hair loss happened really fast (between ages 39 and 41) no longer losing hair - good skin laxity as far as I can tell - decent donor I started taking fin along with minox a month ago. started using derma roller 2 weeks ago. I have been taking vitamins of all kinds for years. I do see small hairs growing near the temples where there wasn't any before so I am holding out hope things change a little for the better in the frontal and on top over the next few months with this regimen. Dr. Diep stated 2500 FUE was what we are looking at with the possibility of more. Do you guys think its possible to get decent coverage with 2500 (hopefully more he said he might be able to get up to 3500 depending on donor) FUE both front and top? Not to hot on the idea of FUT but also not to hot on the idea of more than 1 surgery, both are clearly on the table. I also have always kept my hair buzzed on sides and back. I want to keep the age appropriate hair line, I've always had the Eddie Munster "V". Thanks for the info, just preparing myself mentally for fue or fut.
  9. I had surgery with Dr. Diep in February (thread). I'm not sure what his FUT is like, but I can say that his placement of grafts in my case was grid-like. Part of the issue could be that the singles at the front of my hairline haven't grown in yet, and this could end up resolving itself down the line. Can't comment on the FUT scarring since I went FUE. I like the density that Dr. Diep is able to create, though. My advice would be to read up on at least 4-5 different threads and make a decision for yourself. It's a big decision and there's not necessarily one right answer.
  10. To be honest, I don't know what to think of Dr. Diep lately. There's no doubt he's achieved some fantastic results for his patients. But I also share your concern over some cases of poor graft harvesting, not to mention his grid-like implantation pattern.
  11. I just wanted to mention one other thing regarding the sales pitch between FUT vs. FUE with my consultation with Dr. Diep before I head into weekly updates. Dr. Diep did NOT push me into going with the more profitable FUE procedure. Dr Diep actually nudged me towards going with FUT. I had shoulder length hair going into the consultation and into the procedure. He told me because I wear my hair long, I would be able to conceal the scar right away. But I just knew that my fine straight black hair grows perpendicular from my scalp (as you can see from post-op pics) and ultimately would have liked to have worn my hair short like times when I didn't have long hair. I would never be able to hide the FUT scar given how my hair grows. The decision for FUE was all mine. And I can tell you I was well aware that FUT is the industry gold standard for maximizing donor yield. Here is a pic of such a time when I did have short hair: Believe it or not, I am actually a NW3 in this photo. But I was really good with a brush, hair dryer, and maximum hold hair spray and hid it well. Never have used concealer in my life either. Even during the day of the procedure when I filled out the last minute papers. He said there are going to times when it is not possible to extract enough donors via FUE, would I consent to FUT? I said no. No matter the immediate aftermath of my donor site, I don't think the outcome was a result of profit.
  12. If my early results at the 16 day mark are any indication, yield is something we MHTA patients can all rejoice in. I don't think it is the tech's fault on the right side. Although, that is a strange coincidence. The surgeon makes the inciscion. I think Dr. Diep starts from the left side, then moves right. So as he runs low on donor count, he cuts corners and becomes less artistic and more like a crop-planting machine, leaving more pronounced rows. Then as he goes over the graft estimate as he is making the incisions, he must park himself on the right side and extracts more from that side. Just about all Dr. Diep's patients show asymetry towards the right on the donor side. One more question. Was your procedure estimate 1356 grafts to begin with? And when you signed the paper, did you allow Dr. Diep to go over by 100, 300, or unlimited grafts?
  13. As far as the row-like patterns go, I've emailed Dr. Diep about this and his response didn't acknowledge that the right side looks unnaturally regular & pattern like. He asked me to wait for the year mark before making any judgments. That was kind of frustrating to me because it feels pretty obvious that there's too much regularity, and other doctors wasted no time in pointing that out. Hoping that this gets better with time!
  14. FUE hair transplant surgery result on Black AFrican American man with Norwood 3 after 1 year follow up photos by Dr. Diep of 1,913 hair grafts. 1,913 FUE Hair Grafts Break Down: Single Hair Grafts: 598 roots Double Hair Grafts: 905 roots Triple Hair Grafts: 341 roots Quadriple Hair Grafts: 69 roots
  15. @Dadda, with either the extractions or incisions, did he start from the left and work to the right side? You probably won't be able to answer about the extractions being that he was behind you. But the graft incisions, were those done from left side first, then right? A repeating theme with Dr. Diep's work is that the right side is far inferior from the left side both in terms of the graft incisions and the donor extractions. As I am with my procedure with Dr. Diep. I feel Dr. Diep does two things exceedingly well: Yield is excellent. There are a few isolated horror stories out there. But HT just isn't going to work with some people's physiology and habits. So it is possible that those folks would have went to another surgeon and found the same results He has an accute understating of facial composition and places the hairline perfectly. Like, If Peyton Manning walked into MHTA with his five-head, he wouldn't walk out looking like Usher. If Peyton Manning had Usher's hairline, it would be worse than having his five-head now.
  16. I was knocked out for most of the procedure with Dr. Diep, but you seem to have been awake for all of it. Do you remember if he marked the donor site for symmetrical extraction at all? As far as I could tell, as soon as the shaving was done and the anesthesia kicked in, he just went right into extraction.
  17. Day 11: Scabbing Pretty Much Gone/Lots of Donor Area Discomfort Showered, lathered up regular shampoo, applied to scalp, did not rinse off shampoo. Put on shower cap. Set timer for 20 minutes on my phone. Hopped back in shower. Massaged receipient and donor area for ~5 minutes never staying in one spot for too long. Put head under shower and rinsed off shampoo. Massaging more under the shower. Upon existing shower, plenty scabs left in receipient site (I don't have a picture of this). Upon touching receipient site, scabs were clearly loose, but not dislodging from folicle. I found it best at this point to remove the scabs while the hair was still wet and the scabs soften to feather them out with wet finger using the sink and being in front of the mirror. In doing so, the scabs balled up and were either picked up by the finger or were pushed to the forehead so that I could wipe them off. Took about 7 minutes, but just about all of it came out. Now I have the clearest view of the work done yet. As you can see, most of the scabbing is gone. From this angle, things look generally good. Here is a closer look at the all important hairline. Again, from this angle, things look generally good. I do still feel the hairline is too much of a line. All I can do is wait for the signature Dr. Diep stairstep hairline to fill out. So here are side views of the receipeint area. See how within the rows, the grafts are densely packed in relation to each other within the same row? That close packing within the same row is unnatural. The row spacing is wide in relation to each subsequent row? Unnatural as well. The good news is I can see some growth out of the grafts and natural hair during this now 2nd week. So that is good. Here is a shot from day 5 after I shaved off what was left of my hair just to prove that statement is true (or am I seeing things?). Also, discomfort in my donor site is killing me right now. And I do feel my donor area pictures aren't showing what I see in the mirror. Will work on better pictures of the donor site in the next update.
  18. Well folks I finally took the plunge after Holding off for about 25 years . A little background about myself, I’ve first notice thinning around my mid 20’s . I’m almost 50 now. I remember having a blind date and all she thought was the younger me without the hair loss. When she met me , She asked where all my hair went... awkward situation but she ended sticking with my for a year nonetheless. Later on I started finasteride and was able to keep the hair that I had dated more women and got married . When I got married I stayed off finasteride due to side effects . After the divorce in 2016...I knew I had to do something with my hair so I went back on finasteride and got good results except the crown and mid scalp .. then I met a gal in 2019 and I knew I had to give up finasteride if I was going to have a sexual relationship. But within half a year after giving it up I notice tremendous hair loss again. All my after the hair loss I stopped taking pictures except a few with my kids . That’s how much it was affecting my life here is what I ended up looking like After giving up finasteride
  19. I'm in my 11th day post procedure with Dr. Diep. My immediate observations echo what you are saying now. Here is what I wrote on my thread: In any case, your yield is looking exellent. But the graft placement pattern leaves has room for improvement. All we can do is wait. I do have thoughts on this. But we should probably start another thread on this. I don't want to hijack OP's thread. Page me if you create such a thread.
  20. Alright. Will do. I also will gain the ancilary benefit of being more confortable with stepping out. Day 9 & 10: Update Not much has changed aesthetically but the donor area has been at the highest level of discomfort and almost crosses the line into being outright pain. Might swoop up pain meds through prescription written by Dr. Diep if this persists.
  21. Left side looks great, right side is noticeable but could be worse. I wonder why Dr. Diep did his incisions like that. Was very intentional rows.
  22. Well, let's hope my results a little further down the line turn out well. I don't want to ruin it for you man :). Yeah, I noticed those bumps on your donor site too. I only have scabs. Three things I could think of: Difference in physiology and reaction to the procedure Difference in meds taken and different reactions to them Difference in physical activity I can tell you for the first 4 days, I only took: Swelling meds as prescribed Infection meds as prescribed As I was told in the follow-up call, those two meds above are mandatory. The other two are if/as needed (pain meds, sleep meds). I didn't take pain meds until Day 4, not because I was in pain, but it got a little beyond discomfort. And when it comes to pain, best to keep it at bay than to try to make it subside. So I've been taking pain meds as a precaution along with swelling and infection meds. I haven't taken the sleep meds at all. I started taking propecia immediately after the procedure. Also, I took the week off. House is empty and I have barely left it. Using DoorDash mostly when hungry. Been forcing lots of bed rest. Getting 10+ hours a day. Honestly though, its mostly likely our difference in physiology. Scabs do start coming off by Day 7. So maybe by then you'll see a difference. Drop a line to Dr. Diep and let him know however if you get concerned.
  23. Hello fellow Norwoods. I will be taking the plunge for my second procedure in approximately 3 weeks. Per the suggestions on this forum, as well as youtube videos, I decided to go with Dr. Diep for my second procedure. From my research Dr. Diep seems to have a very high skill level as well as a great eye for overall aesthetics. I will be getting 1300 FUE grafts, with the primary goal of adding density and a secondary goal of slightly lowering the hairline. Want to say thanks for all the feedback I got in my first post. Specifically the following contributors deserve a shout out for their help in my, and other threads: HSRP10, HTsoon, Vermaj, ModernHair, Speegs, JeanLDD (aka the "straight-shooter" lol), Bill, JBL2093. I will aim to update my thread at least monthly, with more updates during the crucial first month post-op. Happy Holidays!
  24. No, I am man. I am digging the results early results. I know a big part of what I posted thus far has been about the day of the procedure. But I am past that now. Honestly, much of what we all worry about is relative. Like that streak of blood running down the side of your head. Had it not been for your need to travel, arrangements surely of which were made well after your procedure date with Dr. Diep was confirmed, you wouldn't be worrying at all. Because, if it weren't for your travel, you should be digging the early results by now too. Like I am. Since you are on Day 4, you can drip graphcyte shampoo on the reciepient area as of today (as per Dr. Diep's instructions). And since your flight is on Monday, much of that blood should come out with the graphcyte shampoo by then. Just lather it up good. Us a small bowl with the sponge they gave to help with the lathering (lots of pumping and squeezing action). Then apply thick slobs of lather on the site and let it sit for at least 5 mins to break up the dried blood so it does not pull anything out as it is rinsed off. Then squeeze water from the sponge to get it off.
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