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  1. @LonelyGraft No problem! No. Dr. Rahal did not work under Dr. Armani. I'm sure they shared information, learned from each other, shared tips, etc. For example, Dr. Ron Shapiro visited Dr. Rahal not too long ago. He shared some tips and vice versa. Combined both have 60+ years experience... so there is a lot to share and learn from each other. It was cool to see both talking "hairlines." For a hair geek like me anyway. lol BTW, Dr. Ron Shapiro designs some awesome hairlines. He's Not talked about much. But does amazing work. Dr. Rahal's also in contact with Dr. José Lorenzo and others all the time, sharing tips, trade secrets, etc. Hope this helps
  2. Female patient had a STRIP procedure in our office. Please view her results below after only 6 months. Total follicular unit grafts: 948 347 - 1's 387 - 2's 214 - 3's
  3. Having attended many of the International Society of Hair Restoration Surgery (ISHRS) annual meetings over the years, I've long known that Dr. Robert Haber is highly respected by his physician colleagues. In 1995 he was recognized for his innovative techniques with an "Award of Excellence" by the ISHRS. In 2001 he was awarded the Archimedes Prize by the Italian Society of Hair Restoration and the Michelangelo Award in 2002. He also served as the President of the ISHRS from 2002 to 2003. But seeing him and his staff in action confirmed that he "walks the talk" in all aspects of his hair restoration surgery from A to Z. The issue of how hair bearing tissue is removed from the donor area has been a particularly hot topic on the Internet the past few years. Patients have been concerned about minimizing scarring in the donor area, while maximizing the amount of hair follicles that are successfully transplanted. Dr. Haber is very much at the cutting edge of addressing these issues so that patient's get the optimal amount grafts from a given amount of limited donor tissue, while minimizing the visibility of any donor scar. In fact, his new device, the "donor spreader", which virtually eliminates any transection (severing) of hair follicles in the donor area during donor removal, was a big sensation when it was introduced at the annual ISHRS meeting in Australia in August of 2005. Dr. Haber's new "Donor Spreader" ??“ making Donor Harvesting Transection Free. The donor spreader enables a surgeon to remove a single donor strip from the patient's donor area without transecting the follicles along the edges of the donor strip. This single strip of hair bearing donor tissue is then carefully "slivered" (trimmed) under microscopes into smaller sections, which are then trimmed into 1, 2, 3 and 4 hair follicular unit grafts. While many leading hair transplant surgeons have the skill to cut along the edge of the donor strip and carefully remove a single donor strip with minimal transection of the follicles along the single blade incision, the donor spreader makes this process easier and more assured. This single bladed donor removal and dissection process, when skillfully performed, makes the harvesting and trimming of donor tissue into follicular unit grafts virtually transection free. Thus a patient can know with confidence that every follicle that is harvested from their limited supply of bald resistant hair follicles in the donor area is going to be carefully preserved and transplanted. Such careful attention to maximizing a patient's limited bald resistant donor tissue is the hallmark of physicians who really care about the patient's long term well being. Such care is often not taken by clinic's who use "multibladed" knifes to quickly remove and trim the donor area in one step without carefully avoiding transecting and damaging the precious donor follicles. Such multibladed knifes and other patient unfriendly means of donor removal, while expedient for the clinic, are silent killers of hundreds of thousands of precious bald resistant hair follicles each year. In my opinion, Dr. Haber's new donor spreader is an outstanding and innovative tool that will save hundreds of thousands of precious follicles in thousands of patients as leading physicians incorporate it into their practices. I really commend him for making the donor harvesting process virtually transection free! Making the Donor Scar Virtually Invisible Dr. Haber also uses a relatively new technique for closing the donor area called "Trichophytic" closure, which can often make the donor scar virtually undetectable to the naked eye. This technique, also referred to as the "ledge" technique, was also detailed on this forum by Dr. Paul Rose who has championed this technique along with Dr. Mario Marzola of Australia. The "Trichophytic" closure enables the top and bottom lips of the open donor area to be joined together with a slight overlap so that the hair follicles in the lower lip grow up and out through the upper lip thus making the donor scar virtually invisible to the naked eye. To enable the upper and lower lips of the donor area to overlap in a smooth and level manner the top and bottom lips are trimmed and beveled so that they join together flush. Such a high level of care in the harvesting and closing of the donor area is producing optimal hair yield for his patients, while minimizing visible donor scarring so that it will not be an issue for a patient. Given his interest in minimizing the chance of cosmetically significant donor scarring, Dr. Haber likes to limit his typical surgical session to under 2,500 grafts in order to avoid over taxing the donor area. Microscopically Prepared Follicular Unit Grafts and Minimally Invasive Incisions Dr. Haber's technicians take great care to preserve the naturally occurring follicular units, while trimming them into 1, 2, 3 and 4 hair grafts. These grafts are then placed into very tiny graft incisions that are carefully oriented and angled by Dr. Haber. Like other leading hair transplant surgeons, Dr. Haber is sensitive to the varying angles and directions in which hair grows depending on where it is located. By following the natural direction and angulations of hairs in a given area, Dr. Haber is able to recreate a natural flow and direction for the new hair. Patient Focused Care Produces Optimal Results Dr. Haber and his staff also typically focus on one patient for the day. Such individual attention enables them to take the time and care needed at each step of the process to give the patient optimal yield and growth, rapid healing and very natural results. Such quality work, although not widely known or recognized online, has earned Dr. Haber and his clinic a strong local reputation in Ohio. In my opinion, Dr. Haber and his staff are real gems in the rough who quietly and consistently produce excellent state of the art results at very fair prices.
  4. Hi All, I first need to thank this forum and the members. I cannot overstate the impact of this forum throughout my journey. After thoroughly researching this forum and having several phone consultations, I figured out that Shapiro medical group is the right option for me. Given the extensiveness of the surgery I needed (photos are attached), I decided to go with Dr. Shapiro. My surgery was on June 19th (three days ago), and currently I am super pleased with the experience. The surgery itself went very smoothly and I didn't feel even a little pain (that could be because Dr. Paul has an expertise in pain management). Initially we were shooting for 3500-4000 grafts, but we ended up with 4775 grafts (I think it is considered mega-session, right?). I have attached pre- and post-op photos. I appreciate if you give me your feedback. Any comment is very much appreciated.
  5. So after lurking around this forum for a while I had decided to dive in head first (pun intended) and go ahead with the transplant. If you'd like to ask me any specific questions I'd be happy to answer. I'll just say that the HT itself was relatively painless and aside from some acceptable uncomfortableness and tenderness in the first 3 weeks the entire process was relatively as smooth as one would expect. I've been taking Finasteride for 2 and half months prior to surgery and I'm using Minoxidil once daily starting 2 weeks after surgery, per Shapiro's instructions. I was a NW 3/4 with balding spots in the crown and heavy thinning in the frontal hairline region. Shapiro has decided on using the entire grafts extracted on the frontal region and let Finasteride do its trick on the crown area. Right now I'm at the 1 month mark. I've been losing a lot of hair during this time, especially after starting to apply Minoxidil. I will update every month or two with pictures of my progress. Hopefully it will be a good one!
  6. Our female patient had a strip procedure and these are the results after just 6 months. Total follicular unit grafts: 1840 365- 1's 851 - 2's 278 - 3's
  7. Patient had a STRIP procedure and these are his before and after photos. These photos are only 6 months after his procedure, which means this is not his final result just yet. Total follicular units: 1401 406 - 1 hair grafts 606 - 2 hair grafts 389 - 3 hair grafts
  8. Out of curiosity, have you considered any other surgeons besides the ones mentioned? Perhaps Dr. Konior, Drs. Ron and Paul Shapiro, or Dr. Gabel? Also, you may consider really studying and viewing multiple consistent results from robotic FUE before committing to a procedure. You are not in a rush, so I advise you to take a step back and really do your research and meet with more surgeons in person.
  9. If I were in this position myself, I would be concentrating on finding a clinic in which the surgeon is involved and participating in the entire procedure, including some graft extraction. These are the most consistent results in my opinion, when led by a top-tier Doctor who is the absolute best at what he or she does. Doctor Konior, Dr. Gable, Dr. Ron Shapiro, to name a few excellent HT surgeons. On a different note, it's useful that you are sharing your results, as this may deter some people away from going to a tech-driven clinic down the line. Having a hair transplant is a permanent modification to your appearance, so it is a decision that must be made with diligence. Good luck, and I hope you get it sorted to your satisfaction. Cheers.
  10. FUTvsFUE has settled on both combined are always better than one vs the other. That’s a strong list, but there are other excellent surgeons. Dr. Shapiro, Hasson and Wong, Dr. Diep, Dr. Mohebi, Dr. Feriduni, just to name a few.
  11. RAPHAEL84 yes everything you said is correct in relation to using precious grafts to disguise the FUT scar. All the other points with laxity and personal circumstances you raised are very appropriate also. However the overall mathematical gain of grafts would or should be higher overall if one was to go the FUT route and then for peace of mind later disguise the scar with FUE. Choosing your surgeon is critical and one that can carry out an FUT procedure and has a solid reputation of leaving behind only a pencil line scar is a must. Of course personal healing will play its part also. Preparation by the patient months in advance of surgery in the form of scalp laxity exercises can be very beneficial also. So overall if we take into account the above and very important point what RecessionProof stated regarding what Dr. Konior said about using approx 300 grafts to cover a FUT scar. You would and should not need to waste a large number of precious grafts. Thats because he is a top surgeon and many like him that wont leave you with a scar that will need a thousand grafts to disguise. As we know grafts are precious. Again its very important to choose a surgeon with a solid reputation, dont make the mistake and go to the cheapest surgeon and think, "ah well ", you can fix the scar later if it dosent work out , in that case its to late and you would only be fooling yourself , and to put it like this ,using the old saying....... " ROBBING PETER TO PAY PAUL " As we know everybody circumstances are unique. As we know choosing a surgeon with a solid reputation is a must . Not the cheapest . ...DISCUSS WITH YOUR DOCTOR... ......................Paddy.............
  12. Hey guys, first time user here. I just got a price offer from Dr. Konior for a 3000 graft FUT procedure. He wants $18,500 for it. I also checked the Shapiro website, and it seems like they will do it for $14,000. I like Dr. Konior and his results, but the price is quite steep. What do you guys think I should do? edit: I decided to go with Dr. Konior as he offered to do it for his old fee, since that is what we had discussed about a year ago. I think that was very honorable of him.
  13. Hi everyone, this is my first hair transplant procedure so I've been doing a ton of research into potential surgeons. So far I've narrowed the choices down to Shapiro and Cooley. I really like Cooley because he does much of the grafts himself, doesn't seem sales-y and has a track record of happy customers. Dr. Shapiro also has many of the same qualities although I've seen less results from him on the forums from actual customers. Does anyone have any advice? I'm located in TX so I will have to travel. Thanks!
  14. 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.
  15. All great inputs from knowledgeable folks. I am currently evaluating doctors for my HT which I plan later in the year. I am considering Feriduni, Hattingen, Freitas (long wait ), Lorenzo (No reply!) and Dr. Konior. I am a NW 3A with thinning in the frontal area. Require hairline design and work, temples, and frontal head. I am looking at somewhere between 3000 - 3500 grafts. Would like to be a bit aggressive. Youthful hairlines are always more appealing to me. I am willing to travel to get the best result. I am 55 and expect this to be my last HT. Have had one before with Dr Ron Shapiro in 2004. Quite satisfied with his work. Who would you recommend specifically for hairline, temple, and frontal density? I am looking for the best in class doctor. I don't need a doctor who is good for mega-sessions or who can cover more real-estate. Thanks folks, Appreciate the input.
  16. 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?
  17. Hi All, I had recently posted a description of my recent HT with Dr.Ron Shapiro on Sep 7, 2006. I just found the time to spend a few hours in creating a detailed blog and updating it with my pre-op, post op day 1 pics by Dr.Shapiro/Matt, and several post op (day2, day3 and day13) photos. I would very much like any comments/feedback on my post/blog and my progress. My Story: (This is detailed in my blog as well, Blog link at the end of this post) ______________________________________________________________________________________________ I have been losing hair since my early twenties gradually. I used to sport fairly long hair when I was young, sometimes shoulder length, so i used to notice more hair loss while combing or taking showers etc. Gradually this decreased as I moved into later twenties , most probably, due to the density decreasing and the hair itself gradually thinning out. I used to be quite sensitive to any comments like - hey you are losing hair, or you have lesser hair etc. Not that too many people have made such comments, it was probably only a handful of people and when such comments were made, I just lost my respect for them and probably did not care much for them after that. But the fact remained that I continued to be sensitive to my hair loss. Similar story to most hair loss sufferers listed here. I did not really think about any treatments for my hair loss, to be honest. There was once , in my early twenties when i first started noticing hair loss and went to a doctor and he looked at my head and said that I was fine and gave me some pills for peace of mind - can you believe it? Anyway, it was only very recently, that I learnt about success stories of HTs - even though I had heard about hair pieces, hair weaving etc earlier, but never was comfortable with any of them. I would any day have preferred to bald gracefully than to look like a clown in any of those solutions. But recently, after reading about latest techniques and success stories of HT, I went to Bosley and MHR for consultations. And in fact scheduled a procedure with MHR. Just like for a few other people on the Hairtransplantnetwork, Pats discussion forum site came to my rescue in the nick of time. And I started my research anew by reading through the website in detail. I quickly narrowed my search to a few top surgeons and decided to finally go with Dr.Ron Shapiro due to the great feedback he had, and also because I had happened across his name earlier during my Bosley/MHR research. For some reason, his name had stuck in mind, I would never have thought earlier that i would fly cross country for a HT. I quickly decided to go with Dr.Shapiro, and called Matt the very next day , and scheduled a procedure for the very next week (Sep7). Luckily someone had cancelled and a date opened up that was offered to me and I grabbed it. It all happened to me at lightning speed thereafter. I had never thought that I would decide upon and undergo a HT so quickly , as I had only started reading about HTs about late last year (2005). I underwent a procedure with Dr.Shapiro on Sep7. Everything went great (I have posted my experience of the visit on the ht forum). It was very much like others have described a HT procedure with Dr.Ron Shapiro - great doctor, great person, great team - Matt, Janna and all their other staff, very smooth procedure throughout. I think I would classify as a 4 or so - never asked Dr.Ron specifically about where I stood on Norwood scale. Since I am 31, and my thinning is mainly around the hairline front 1/3 and toward the crown, these were the areas primarily addressed. Dr. Shapiro gave an initial high level recommendation for about 2000 grafts for the front 3rd with about 500 grafts or so toward the top part of the crown, keeping future loss in mind, and also with the assumption that propecia may help keep/grow some hair in that region. I ended with a total number of 2523 grafts for the front 1/3 and some on the top of the crown with about a two finger width region on the top of my head not being touched as Dr.shapiro indicated that I had decent thair in that region and he did not want to risk going through it. Dr.Shapiro cut my thin hairs in the front region and also some small hairs on the crown were cut to enable placment of grafts there. Today is exactly day 15 after my HT - my scabs have healed well and i had my staples removed on day 12. I am noticing a lot of hair loss (probably both transplanted grafts and native hair) after week1. This is happening more as I am starting to shampoo and massage my hair more vigorously now. Maybe I should stop that and be more gentle. I would very much like any comments/feedback on my post/blog and my progress.
  18. 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!
  19. @Aftermath Dr. Rahal didn't declare himself "The hairline King"... his patients did. But as with anything you should back up claims with proof… So below is the proof. There are thousands of examples on this form alone… I encourage you to use the search function. Here are just a few... "he's called the hairline king" https://www.hairrestorationnetwork.com/topic/51249-dr-rahal-3025-grafts-fut/ "The Hairline king!!! https://www.hairrestorationnetwork.com/topic/46745-dr-rahal-3185-graft-fut-nw-3-6-months-post-op/ I'm also calling you on your "lacks consistency" and "patients disappear" statement... Dr. Rahal is one of the most consistent doctors in the business...this is a fact...not up for debate. - Search the forms and you'll find thousands of happy patients... And "very few" unhappy patients... He's been doing this for 30+ years... Thousands upon thousands of procedures… I would say that's "consistent"... Wouldn't you? -Even the elite hair transplant surgeons don't bat hundred percent... A small percentage of guys… For whatever reason...will need a touch up. It's the human body… There are factors outside of their control. Don't get a hair transplant unless you can accept that fact. - What's important is… How did the doctor react?… Meaning did he do everything in his/her power to make the patient happy. Elete hair transplant surgeons at Dr. Rahal's level do just that… They have one goal really, make sure you are happy. …The above are just a couple of reasons why I chose Dr. Rahal for my hair transplant. I've been at this for a long time (20+ years)… and I see when posters like you throw little "jabs"… which aren't true… just to get patients/guys all riled up. Making sure you say in the same sentence "it's your opinion" just to cover your tracks… that's telling. There are certain doctors in the industry who are consistent… And care for their patients... few and far between in this industry sadly. Dr. Shapiro, and Dr. Wong are 2 others I have great respect for. Both are consistent and produce amazing results. These doctors are on your side...and move the industry forward. -------------------------------- @bman3082 It's great to see you back man. And awesome to see you asking questions… Sharing your experience. Sorry I had to waste my time on @Aftermath. His goal is to get guys riled up with statements like "failure" or "not consistent." He knows full well it's all BS. Reality is… You went with one of the best... ✓ consistent ✓ natural results ✓ hairline King ✓ ethical ✓ experience It's too early to judge anything... but based off what I'm seeing (40 grafts cm/2) you are right on track. 40 grafts cm/2 is a low density hair transplant... and it's going to look thin. Especially since you have dark hair/pale skin and contrast between hair and scalp is high. It's important you keep your expectations in check. Meaning don't expect a typical Rahal Hairline. You need minimum 50-60+ grafts cm/2 (depending on hair characteristics). Not that you have anything to worry about… Everything indicates (from what I'm seeing) your hair transplant will be a success… But it will look thin. Again, thin does not mean your hair transplant was a failure. It just means you received 40 grafts cm/2... And will need some creative styling to achieve the look you're after. This is just the reality. Anyone who says different is lying. ...But again...way too early to judge anything. It's a waiting game...and you are not even at the 1/2 mark...both in density and coverage. What's key here is that you went with Dr. Rahal...One of the most ethical doctors in the business. So even though 40 grafts cm/2 will look thin… And it sounds like you knew that going into it. Dr. Rahal will most likely increase the density for free… That's just who he is. Good luck and keep us posted... You have nothing to worry about.
  20. Sorry that your thread was de-railed. You have some good surgeons on your list. Frankly, any of the surgeons on your list can provide excellent results. I disagree with the poster above rumors are exactly that rumors. I’m a walking testament of Dr. Dieps work, as are countless others on the forum my donor is in no way destroyed or compromised and I can still withstand another 1,000 grafts via FUE. Either way, you can’t go wrong with either of the surgeons you mentioned. I would also include Gabel, Cooley, Konoir, Shapiro to your list. At the end of the day, go by results and who you feel comfortable with. I also suggest sticking with FUT first, although I had the same hairloss as you and chose FUE, it certainly cost me more money in the long run and took longer. I knew that going in but it’s obviously not the most efficient way.
  21. I can tell you that all the doctors at Shapiro Medical Group in Minneapolis get very similar great results. Dr. Shapiro is a good friend of mine and he would not let any doctor perform surgery in his clinic with his name on it unless they were getting as good as results as himself.
  22. There are 3 different doctors doing transplants at the Shapiro clinic and I am going to guess that all results from there are not alike. I would research the particular doctor that would be performing the surgery and not just the clinic. Dr. Konior also has Dr. Nadimi working at his clinic but it sounds like your price quote is with Dr. Konior.
  23. I would schedule a consultation with Konior, Dr. Rahal, and Dr. Ron Shapiro. It sucks where you're at man. I've been there. You can fix this though. Maybe I missed it? But have you asked for a refund from the other clinic? You can use that towards getting this fixed.
  24. I agree 100% that FUE is not scarless. Though you can minimize visible scarring, that's key. The simplest route to achieve this is punch size. Keep in mind that if the doctor is using a 1 mm punch, the actual size of the punch depends on the thickness of the metal. Depending on the manufacturer, it can be 1.2 to 1.5 mm. In the wrong hands even 1000 grafts can destroy your donor area. I seen it many many times unfortunately. The problem we're dealing with here is donor management or lack of donor management. It's a technique used by very few North American doctors. I commend any Dr. willing to learn FUE- and as with anything in life they will only get better in time. The problem is at the last FUE conference, I only noted 3 doctors from North America… Dr. Rahal, Dr. Wong, Dr. Shapiro. That says something. It was at this conference where they talked about the stuff, share tips of the trade. Here's a quick explanation of donor management… Donor management - a strategy to maximize your donor area, both in the number of grafts you can safely harvest for transplantation and visually, allowing you to wear your hair short and get the most amount of grafts possible... Tactic #1: Using calculations, you are able to predict how many grafts you can safely harvest from the safe zone. Not only in one session but over multiple. Punch size is a factor here. Smaller punch means more grafts and less visible scarring Tactic #2: partial transection to avoid this kind of stuff-scarring, patchy, moth-eaten look. If it's a 3 hair, you will strategically harvest 2 and leave 1 hair behind. For it to work you need 8x magnification and .8 punch size and under. The magnification alone is 10k. So not many want to make the investment. Tactic #3: punch type, sharp, dull, etc. motorized vs. manual - each has its place, depending on your skin type. FUE experts are masters at each, and prior to each procedure actually test each. What they are looking for is the technique with the lowest transection and highest graft quality. Note: smaller is still better You also need a high level of skill to pull this off, why I am so against the robot. In the hands of an amateur hair transplant Dr. you can do more harm with FUE to a guys donor area than any other procedure. Bottom line, if you are using a 1 mm punch, the robot you're not practicing donor management. Donor management is a highly advanced strategy and means a massive investment both in staff and equipment. But it's also what separates the amateurs from the professionals. Please refer to this example photo… This is just a quick explanation… There's much more to it. But in the example I applied tactic #2, with just 12 single hairs. And you can notice a visible difference in the donor area. I do commend Dr. Diep. I'm seeing some good results from him. And I encourage him to continue learning the craft and to learn about and master donor management. It would be super helpful if he would jump in and let us know about his technique, punch size, tools of the trade. I always encourage an open and honest debate. That's what makes this forum great.
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