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  1. I would like to ask Dr. Gabel's about his experience with FUT vs FUE graft yield rates. Many of us have seen the study that shows yields can be comparable. However according some top surgeons who perform both techniques including Dr. Bloxham and Dr. Diep, graft quality and survival rate for FUT is still better. Which is closer to the truth, per your patients' results?
  2. Thanks for the reply. I consulted with Dr. Rahal in person, because thankfully he also operates in Toronto. All other doctors including H&W, Bisanga, Diep, eugenix and a couple of others I reached out to online and for the most part they all told me roughly the same thing and the general consensus was 2-2.5k grafts would suffice and the final count would be something we would agree on day of surgery. As for Dr. Rahal, he looked at my head briefly and estimated that he wouldn’t go more than 2,500 grafts. Maybe the pictures don’t depict it well but there is some further recession past the hairline, mainly in the temples. Anyway they all directed my attention to the possibility of further loss, but I’ve been told that my donor area is above average. (one of rahals consultants even estimated 8,400 grafts, but I honestly don’t know how he derives that number and won’t go off it until a surgeon tests, and measures it correctly, to tell me how much is in the bank) But you’re right, at this point I’m trying to weigh the potential for a cosmetic improvement with the conservation of my donor for the future. It’s a tricky business. May I ask how long you’ve been on meds and what dosage ? Has it worked to stabilize for you ? Any noticeable problems ? cheers
  3. I'd like to add to the wealth of knowledge about Dr. Diep since it seems he has many reviews here that are mostly positive. The jury is still out on this one, but I have high hopes so far. I am 33 years old and paid ~16k total for this FUE procedure and it was booked about 9 months in advance. I *almost* backed out a few days before after reading some scary reviews on realself and after hearing Dr. Diep's reputation for using a large punch size, but I went ahead anyway since he had a solid reputation on this forum. I've always had a high hairline since I can remember (I recall a girl calling me out for a receding hairline when I was 16), but I don't think I actually had noticeable miniaturization occurring until about 27. My father is nearly completely bald, and my brother's hair (who is about 7 years old) has progressive hairloss that is a bit worse than mine. I would say that for most men my age that are suffering from pattern baldness, mine is relatively milder (likely due to my early attempts at treatment). Some might say I am crazy for getting FUE at this stage of hairloss, but it is bothering me enough and it is difficult to style the hair the way I want (I have a huge forehead so I generally wear it down and to the side). My hair is currently receding in the temple areas a few inches and I believe it is starting to thin in the crown area as well. Here is where my hair currently is: You can kind of see on the right side of the picture of my temple area where I think the hairline used to be - one sole surviving hair seems to be nice and thick still. As far as treatments go, I probably have propecia and keto use for the last 4 years or so to thank for the relatively minor hairloss I have (compared to my brother at least). I hadsides when I started propecia, so I experimented with dosage and and also used grape seed extract as a way to counteract the effects (I forgot the mechanism involved but I read about it a long time ago and it seemed to work). I landed on taking approximately .5 mg every 3 days. Any more often and I start to get foggy brain. I sometimes try to increase it to EoD but I just can't do it because the brain fog messes with my job performance. Anyway, on to the stuff you guys probably care about. I initially paid for 1750, but Dr. Diep convinced me it would be a good idea to at least give him an allowance of an extra 100 based on the line he drew to restore my hairline. I also went with the A-cell - cost wasn't that huge of an issue for me and there didn't seem to be any drawbacks other than extra cost: This was exactly what I was looking for - even though I was tempted to lower my hairline a bit since my forehead is so large, I decided ahead of time that I should keep it conservative and simply restore what I had previously. I didn't want to deplete all my donor hair in case I needed more in the future. I also wanted to avoid possibly having an artificial looking hairline by at least having native hair closer to blend in with the implanted hair. I've seen Diep do magic with hairline lowering, but I've also seen some less than stellar results so I didn't want to take any chances. The half a CM or so that it appears to be lowering is simply because you can't really see the few straggler hairs that had not yet receded. As far as how the procedure went, it was fairly typical as others on this forum have described. The Dr. was already working with a patient when I arrived at 7:30, and he told me that he would be done with that patient in the early AM and would be with me for the rest of the day (that turned out to be not really true - once he finished making the recipient incisions, he only came and checked on the technicians performing the implants every now and then). I was given a concoction of pills and then waited about an hour and a half before the doctor came to begin the extractions (around 9:30-10). I did not fall asleep like most others describe but I was fairly relaxed. I experienced some pain from the anesthetic injections, and also had some pain during some of the FUE extractions in a particular area, and I recall him giving additional anesthetic injections for that. I don't know what size punch he used, but he indicated during pre-op that he used between .9 and 1mm - he explained his reasons for the larger punch and while I am aware I could have insisted on a smaller punch, his results speak for themselves and I think its best to let the doctor do things his way. Many of the criticisms I've read thus far regarding the punch size have been focused on how the donor area looked just after the procedure, but I haven't seen any real criticisms of his donor areas in the long term - and I also had not read of donor reserves being unusable as a result. The FUE extractions came from the back and my right side, as seems to be common with Dr. Diep (and debated about in other threads). I think the jury is still out as to whether this should really be done, but I can say that the left side of my donor area is well preserved for any future need, though I am not sure I like how far near the right ear he went with the extractions. That said, I will generally not be buzzing my hair very short anyway (5 guard minimum) so I don't think this will be an issue for me - you can see from the photos how I generally wear my hear. He made sure to minimize any shaving of hair at my hairline since I plan to return to work after 3 weeks and I am hoping (though I am skeptical) to disguise the work with a mixture of clever styling, makeup, topik, etc. One criticism I had about this procedure is once the extractions/incisions were done and lunch was provided, I asked for another round of sedatives (xanex/valium) since what I had so far wasn't really doing the trick and I had much more time to remain in the chair. I wasn't provided that - I am not sure why. The second half of the procedure was fairly uncomfortable - I was generally conscious and could feel each insertion of graft (though no pain from it initially). The inability to move at all due to the inserting of grafts, combined with the very chatty techs who were talking/laughing very loudly inches from my ear talking about all sorts of things (strip clubs, dating, etc), and the lack of any sedative effect, made for a very uncomfortable 6 hour process. I believe they started inserting the grafts around 2pm, and when 5 rolled around or so and I was basically wide awake, I asked how much longer it would be, and I was told 2 hours. Well, 2 hours rolled by and I asked again how much longer, and I was told 30 minutes. The anesthetic had mostly worn off and I was starting to feel pain/pressure and decided to just power through it (they asked if I wanted the Dr. to come apply more anesthetic but I declined since they were almost done, I thought). But it took another hour and a half and everyone from the office was pretty much gone except the technicians and the doctor. The post-op instruction lady came in and decided to give me my post op instructions and sign it while I was still laying on the chair and getting grafts placed, which I thought was kind of odd (do you think I am going to remember this well while I am getting stuck with grafts?) I understand that things happen and just sometimes take longer, but I couldn't help but feel like there was a sense of being rushed at the end (techs complaining about being hungry and what not). By the time things were wrapping up, I was asking for the painkillers prescribed to try and get ahead of the pain that I could feel coming on. The painkillers they gave me did not seem to have any effect on me (Tramadol) so my girlfriend and I drove straight to the pharmacy, and wouldn't you know everything was closed by 10pm, and the one 24 hour pharmacy was out of percocet. Most people describe the post-op pain as being relatively minor but I was experiencing the worst head pressure/pain I had ever felt. I ended up quickly glancing through the post-op instructions and seeing something about how ibuprofen can be taken 4 days post-op and in my pain and dizzyness from the valium, believed that meant I could take ibuprofen and took 3 (turns out I wasn't supposed to do that because of the blood thinning effect). While his written instructions, if you actually parse out the language, say that you can take ibuprofen after the 4th day, it is very easy to misread the instructions if you are in a daze from the sedatives and in a lot of pain. I was mildly annoyed because my girlfriend had been in the waiting room since 4 pm and could have picked up the prescriptions for me as I had asked (but they declined to let her because they said they already had painkillers for me). A word about the post-op instruction packets - I also don't understand why there are two different sets of post-op instruction packets which address the same issues and in some cases are contradictory (one set of instructions are telling you how to clean the recipient area each day after surgery but the second set clearly says you should *not* touch the recipient area until day 4). Dr. Diep was very pleasant during the pre-op but I didn't talk with him much after the procedure. I believe he came in to check on the technicians about once every 30-45 minutes during the insertion of the grafts and to take final photos. I went to my first post-op wash and was hoping to get a rundown of how he felt about the procedure, but he was too busy when I was there, so I am hoping to catch him in one of the other cleanings if possible. Anyway, here is the stuff you guys probably care about: Other than taking ibuprofen after the surgery, everything seems to be normal. Once I woke up, i was no longer in pain and haven't really felt anything yet. The doctor told me the ibuprofen won't have any effect on the graft survival, it can just cause excessive bleeding from the donor area (doesn't seem to be a huge issue at the moment). I also apparently misinterpreted the pre-op instructions regarding smoking - the warning made specific reference to the dangers of nicotine - so I assumed that smoking marijuana was still OK (I used marijuana semi-regularly 1-2 times/week), and had smoked it 4 days prior to the surgery. Dr. Diep didn't like that but said it should be fine, but advised me to refrain from any marijuana use for an "entire year" ?!?!. From what I've been reading, it seems that the general MO is to refrain from smoking anything for a month or so, but after that I can resume. Cannabis has been show to inhibit growth of hair generally from what secondary sources I've read, but it doesn't appear from anything I could find that would cause the failing of hair grafts once the grafts are fully healed. If anyone has better information they could chime in? Anyway, thanks for listening. Any tips to disguise the hair implant would be greatly appreciated - I can't wear a hat as I work in a courtroom so its very important to look professional. I might also just need to fess up and tell everyone why I took a 3 week vacay - but we''ll see. Thanks for listening.
  4. Yeah surprises me too. I believe Dr. Diep as an example has been operating this whole time. They’re gonna be busy rescheduling a whole lot of patients
  5. Hey y’all , so I finally got my hairtransplant November 30th 2018.. it’s been a journey looking for clinics and choosing the right method . FUE or FUT n how many grafts is needed etc. I’ve been researching for 1.5 years now on hairloss around age 37.. prior to that I had great hair that I took for granted .. My family don’t have a history of hairloss , so I always assumed that the hairs would grow back .. . so I was in a lot of denial of why I’m losing hair.. I was adamant I only wanted FUE n wanted it to be with a top notch clinics .. I panicked last year n booked with doctor rassman for 1200 grafts for late 2017.. after more research I realize they weren’t great at dense packing hairlines. So I canceled on them n booked with doctor Baubac for 1400 grafts . then two weeks prior to surgery . Dr baubac canceled on me n advised me to stay on finasteride for a full year first. Since he didn’t want me to be chasing my hairline .. at first I was angry about this .. I waited for months for this surgery n I got canceled on so I started researching other clinics .. n Drove 2 hours to dr dieps office for a live consultation in March 2018.. the consultation went well, even though it was quick , but he drew the hairline for me , in one minute .. he was artistic n knew what he was doing .. I was hoping to get a more in depth consultation however , like getting my hair diameter checked . My balding pattern , how much donor I had etc .. overall the consult went good but fast .. but one thing that sold me was doctor diep said to me u should let me do ur hair , since he’s really good with asian hair .. so I was sold .. booked with them for 2000 grafts FUE for October 2018 for $16,000. After that consult I was happy I got my clinic , but disappointed that in 4 months my hair has gotten a lot thinner n receding enough to where I need 2000 grafts now , even while on finasteride.. well fast forward to October 2018 one week before my surgery date with diep .. during this time I had lost my debit card , so I told them I can wire the money by bank transfer.. they didn’t want to do this , since they said it will take a few days to clear .. n I have until that afternoon to pay. I told them my debit card should be coming today or tomorrow .. but instead they canceled on me n rebooked me for October 2019. The next day my debit card came , n I emailed them to see if I can get back my original surgery date . Since I can pay the whole $16000 now .. but it seems like already filled my spot with someone else . Well I was like fine , I look elsewhere if they going to be like that .. I sure ain’t waiting another year for them . If they going to be like prior to surgery , I can only imagine how difficult it would be if I didn’t get a good result n coming back n asking them for a repair or refund etc .. I know it ain’t gonna happen ... n quite honestly , I was really afraid of getting .9mm or 1mm punch size holes.. It doesn’t look pretty .. but his results are fantastic though , so I was willing to ignore that .. I also didn’t like that he has two patients a day . So to work on me n another patient At the same day .. i don’t feel like I’m getting $16,000 worth .. I want the doctors full attention with that kind of money .. but don’t get me wrong .. I would highly recommend dr. Dieps clinic.. he’s one of the best at hairline work and maximizing ur grafts .. if I ever need a touch up to my hairline or temporal points I will definitely consider them again . But , so the very next day I contacted h&w .. they said they had an opening next week .. n was willing to pay for my flight n 3 nights hotel .. n had no problem taking a bank transfer from me .. so the next day I booked my flight and was going to Canada the following week .. to be continued .. p.s. pic below is me last year at 38 prior to surgery ..
  6. Hi Abi, my first procedure I had 2600 Grafts. I've always had thick hair but a higher hair line. The first procedure didn't go well mostly with staff. They put tape directly on side grafts which pulled out grafts. I also felt the procedure was rushed and only lasted eight hours. I was over sedated and the whole procedure just felt choppy. The FUT strip also wasn't cut off in a fashion manner, it felt pulled and tugged. I was upset about a lot of this. However, Dr.Diep has great results with patients, five star ratings and the photos of thousands of patients to back his work. He offered a second procedure for only half the cost. I only spent $5,000 this time around. I was there for 12 hours and the process was very, very smooth this time around. I'm hoping this is the last time and I get the hairline and density desired, which I think I will this time around. How do you think the hairline looks? Much thanks.
  7. Let me guess: Dr. Diep 😉 It looks all normal, do not be worried.
  8. It looks good, but you can see the scars at that length, you may want taper the fade from a #1 into a #2. Dr. Diep was my surgeon as well, I think he did a great job on you 🙌
  9. I would seriously reconsider going through with this plan. So, without Finasteride you're going to continue to thin. In fact, implanting in between existing hair can exacerbate the loss of surrounding native hair. You could actually permanently shock out some of your native from the trauma of surgery. Your net gain wouldn't be very noticeable. Dr Diep extracts very high in the donor and what could be considered out of the safe zone. I don't believe you would have another 1000 left after getting 2000 from him now. Your donor already looks very thin. Dr. Diep uses a 1 mm punch and he doesn't particularly take a sensible approach to donor harvesting. He doesn’t extract uniformly and wherever he extracts from is going to be thin. You probably won't be able to keep your sides as short as you have them in the most current pictures. Just be careful man this is a slippery slope.
  10. I had a similar experience to @John Doe. I had two consultations with Rahal's reps (one was with Aron while he was still with the clinic), and after the second consultation I e-mailed the rep to request to meet with Dr. Rahal. He set that up for me with no problem, and the next time Dr. Rahal was in Toronto I got to meet with him while another rep took notes of our conversation. Many clinics as busy as theirs use reps to coordinate because imagine how much time would be taken from the Doctor. Again when I asked to see him they accommodated me. My experience with HW rep was also less impressive. He seemed to drive the conversation with his ego for no reason and it felt like a negotiation. Another thing i was disappointed with was that unlike Rahal's reps, he did not take any measurements of my donor area or measured for density. On all three of my visits that was standard at Rahal's clinics, they gave me numbers to work with in my head which I think is absolutely important. After eyeballing my head, the HW rep gave me an estimate and told me my donor looked to "in good shape". I shouldnt make it out like it was entirely bad, I just had different expectations coming into it. Regardless, I understand that the reps are obviously not direct representation of the doctor's work... and both are still top clinics and atm I'm having trouble deciding between them.
  11. I cannot comment on Dr. Diep but I did hear today that the ban on "elective" surgery procedures were being lifted today.
  12. @FUEblonde1986 did you happen to have your April follow up with Dr. Diep yet? Also, can you comment more deeply on the state of your donor? If you cut the hair short, can you still see the rough outline of where the doctor did the extractions in terms of it being less dense than the surrounding areas? cc @FUEblonde1985 since I’m not sure which one you are getting emails on.
  13. I got my hairline reconstructed by Dr. Diep 13 days ago, tomorrow will be the two week mark! My hair has been thinning and hairline receding since I was about 22 years old and started to take Propecia when I was 25, which slowed it down considerably. Around age 28 I added Rogaine to the mix, which pretty much halted the recession. The hairline wasn't too bad, but is slightly thin and I had been waiting for the "next miracle" for the past 5 years (Histogen, Replicel, Tsuji) and finally...a couple months ago came to the conclusion that they weren't anywhere near close despite all the time has lapsed and decided to just go ahead and move on with the transplant. I selected Dr. Diep because I heard he was good with Asian males and a hairline pro. Pardon my poor pictures, I never intended to create a thread until I got on here a few days ago, so didn't take too in depth of pictures. Attached is my hairline drawing and one day post op pictures. As you can see my donor area looks pretty beat up...which was a disappointment because I did not expect this much surface area used for approximately 2,000 grafts.
  14. You definitely can achieve a great result. I’m very satisfied with my results from Dr. Diep. That being said, I would definitely try finasteride first. It could help immensely.
  15. Thanks for the update. Your donor looks very similar to mine, which gives me hope that in both of our cases, it is closer to the norm than it is an outlier. The Dr. Diep donor management horse has just about been beaten to death, but I do want to state one final time that I wish he spread out the extractions more evenly throughout the donor, so that even if there is patchiness and sparseness long term, at least it looks symmetrical. That is the thing that continues to stump me.
  16. Hey everyone, I recently (~2 weeks ago) had an FUT procedure done by Dr. Diep in Los Gatos, CA. This is my second FUT procedure. The previous one was about 5 years ago by a different doc and had rather weak results. First procedure before and after (5 years ago, 4 years ago, and about a month ago): Pre original procedure 1 year post orig procedure 3 weeks ago, 5 years post original procedure... and pre 2nd procedure So now for the most recent procedure with Dr. Diep. First of all, the experience was much more relaxed than my previous. Dr. Diep instills a lot of confidence and his approach is very straight forward and reassuring. He decided FUT would work best for me and was hoping to get 3500 grafts and cut out my original scar. Unfortunately, he was only able to retrieve about 2500 grafts but refunded me the difference. I went with the shot of stem cells (PRP or whatever) to help everything take and stimulate growth. Here are some pics of post surgery up until now (about 2 weeks later): donor area is feeling pretty tight. Definitely not as much flexibility as their was the first time. scar goes fairly high up this time here it is today. I know I'll likely lose most of this in the next two weeks or so... but interesting to see the new hairline / density I might hope to see again in about years time.
  17. Your donor already looks so much better. People always give Dr. Diep the blues when it comes to his donor management but at the end his patients never seem to notice and the thread ends up moving forward as if nothing happened. I think you’re good, man. When that hairline comes in you’re going to be sitting pretty. Happy growing and please keep us updated!
  18. Not sure why this post was reported, but some good advice. Dr. Diep was my personal, and while I have dark hair and it’s more on the thicker side. I know a few blonde guys who had excellent results @JBlonde @E39 @SWdan and even @FUEblonde1985 even though he was skeptical, I thought it his hair looked amazing. I’d suggest reaching out to them for their unbiased opinions.
  19. They have the most experience, but definitely consult with other top docs like Dr. Bisanga, Hasson and Wong, Dr. Diep was my personal doctor, and my hair was similar to yours.
  20. I am 32 year old, currently a NW3. I originally planned on having a HT w/Dr. Diep. He estimated that I would need around 1500-2000 grafts, FUE, to restore my hairline and I booked a date and made the non-refundable deposit. However, recent posts on the forum made me concerned about his approach to one sided donor area extraction, over harvesting, and what appears to be increased trauma to the donor area relative to other surgeons performing FUE.. I began researching other surgeons and found Dr. Hasson from HnW. An online consultation estimated me needing 2000-2500 grafts via FUE (I have had some increased thinning since my original consultation w/Dr. Diep). From what I found, however, it appears that Dr. Hasson is somewhat hands off and allows his techs to do the majority of the work, although I may be misinformed on this. I did find that to be concerning, however. Overall, I was wondering what the community's opinion is about each surgeon, and if I should choose one over the other Thanks!!!
  21. Manual FUE hair transplant surgery of 2,540 hair grafts result on Norwood 3/4 hair loss pattern mostly frontal balding by Dr. Diep. Grafts Count Breakdown of 2,540 hair roots: One hair roots = 643 grafts Two hair roots = 1,308 grafts Three hair roots = 476 grafts Four hair roots = 113 grafts Total hair roots = 2,540 grafts To view this client in detail, please click on the following Youtube link
  22. I looked at a few videos and seems he did a great job with Norwood 5-6's with great coverage. Any feedback on him?
  23. @Melvin-Moderator that’s good to know. I think it’s possible to simultaneously hold that he is a great surgeon but also that he takes some shortcuts compared to others who charge $10/graft. And that’s my point — compared to the whole population of surgeons, he is likely top tier. But compared to the others who charge top dollar, he’s a bit of an outlier in terms of his approach. Regarding the straight lines: there have been two people on this thread who have commented on how the grafts are placed in straight lines. One of whom had surgery with Dr. Diep prior and called this out as an issue. So yeah: no proof yet that it gives sub-par results, but another thing to note I suppose.
  24. In the entire body of work, I don't think I would consider him lower quality. I don't see any proof of this straight patterns. Maybe he will share a photo of what he's talking about, but I haven't seen any issues with the overall outcome. Now, in terms of larger punches and extracting from one side of the donor, the information is out there, if you want a surgeon who uses a small punch, then definitely choose a different surgeon, however, I haven't seen many doctors who consistently put out high quality results every week, or the same number of patient reviews. In the end, it's all about results. I have seen dozens of surgeons work, and hundreds of real patient reviews, and I can safely say that Dr. Diep, is at the very top, so much that I have personally referred one of my best friends to him. He is now about 9 months and his results are stellar.
  25. Yeah @Noodles123 if you could post a current-day photo illustrating the see-through nature, that would be awesome. @Melvin-Moderator I’m starting to see a couple trends pop up around the way Dr. Diep approaches his Hair Transplants. Mainly: Larger punch size than other surgeons in his $$$ price range ($10/graft) Uneven FUE extraction from the donor, increasing the risk of over-harvesting for smaller transplants (<1500 grafts) Unnaturally straight rows for the implanted grafts, which you can see from my photos earlier in the thread (though whether this is a bad thing is definitely up for discussion) At the same time, he delivers some stellar results on the site and is generally seen as a “safe” bet due to the sheer number of unbiased write-ups available online. I understand that each doctor has their own techniques, and each technique has its own pros and cons. Larger punch size = higher rate of graft survival. Uneven FUE extraction = more untouched donor down the line. Unnaturally straight rows = something, but I’m not sure what. Ultimately we all consider a bunch of factors, make a decision, then hope for the best. And I am hopeful that in both my and Dadda’s cases, we have awesome results. But at some point, I think it’s worth figuring out whether there’s a pattern here. One possible set of explanations: Larger punch size is easier than smaller punch size, but a more dedicated surgeon could make lower punch size work, maximizing graft survival and minimizing impact on the donor Localized FUE extraction is easier to do than extraction in an even pattern across the donor area. You only have to shave one area, and you go line by line until you have enough grafts. Unnaturally straight rows are easier to implant than more staggered edges Again, this is just one possible explanation, and I’m not a doctor. But an easy story to tell here is that Dr. Diep just has a slightly lower quality bar than other top surgeons, while still managing to produce home-run results because of his expertise in other areas (hairline design, graft survival rate, etc). At the end of the day, he has a formula, it produces good results, and his waiting list is 6 months long. So from his perspective, why should he mess with the formula?
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