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  1. Hi, all. I haven’t posted here much since my last procedure in 2015, but happy to share an update with everyone about my latest surgery. As background, I had my first transplant with Dr. Robert Niedbalski in June 2012. I was a NW 2-3, and he transplanted 1,450 grafts via strip to form a lower, but still recessed, hairline. I wanted a flat hairline, so I had a subsequent procedure with Dr. Rahal in October 2015, when he transplanted 2,200 grafts, again via strip. The hairline design was great, but the right side grew in a little sparse. Nothing awful, and I could’ve gone without addressing it, but I wanted to go back to the well for a fuller hairline. I just turned 36, BTW. I've been on Avodart and Propecia for six years and essentially no longer lose hair--my loss is fully halted. I use Rogaine but discontinued before surgery per instructions. Links to thread about my earlier procedures are here: https://www.hairtransplantnetwork.com/blog/home-page.asp?WebID=2858 So, last week I drove from Seattle down to Portland for a third procedure--this time with Steve Gable. I’ve known Dr. Gabel for about five years and have really looked forward to working with him. He’s a precise, thoughtful guy, and I knew he’d be a great choice to refine my results. I left Seattle at 3am to check in at Dr. G’s clinic at 6:30. His clinic just moved to a brand-new facility, and it’s gorgeous--two ORs, a lovely lobby, and overall just a great, clean, attractive space. We sat down and discussed hairline approach, and agreed that we weren’t going to lower the hairline. I didn’t need it, and lowering it even a few millimeters would mean that I’d need to get in again to spruce up the density, and I wanted to be done. (My hair is still very dense and I want the hairline to match, so I don’t want to get stuck in a loop of chasing density in an ever-lower hairline.) We agreed 1,000 more grafts across the hairline--and concentrated in the right side--would do the trick. The procedure was very smooth. Strip excision took about 30-45 minutes and I didn’t feel any pain. Dr. G excised part of my prior scar, which ran from just inside left ear to above my right ear. He didn’t need to run all the way from end-to-end on the scar. He closed the strip with staples, which I hadn’t had before; he thought they’d do a better job at holding the tension and has had good luck with them recently. Once the wound was closed, he did the incisions--nothing eventful, and nothing painful. I didn’t bother to watch TV, but just spent the time chatting with Dr. G and his techs. If you haven’t met him, he’s a really personable, chatty guy, which was engaging during surgery. I had a Valium before surgery but didn’t feel it much, which was fine; I’m not the anxious type and was perfectly relaxed during surgery. I seemed more comfortable than my previous surgeries, but that’s probably due in part to the fact that it was fewer grafts so the sit was shorter. When we got to placing grafts, I’d estimate that Dr. G placed about 50%. He places grafts in all his procedures, and I was his only patient that day, so there wasn’t any need for him to pop out and attend to someone else. If you haven’t gone through a transplant before, it’s really disconcerting when you feel like a surgeon disengages from the procedure once the incisions are made and just turns everything over to the techs. Dr. G was omnipresent and was in the room for virtually the whole procedure. That’s not the norm. Of my three procedures, this was the smoothest and easiest. That’s no knock on Niedbalski or Rahal, but a huge compliment to Dr. G and his staff. The post-op materials were first-rate and included a calendar specialized for my surgery date so I didn’t have to count post-surgery days. That’s a nice touch that I hadn’t seen before. The recipient area was also very clean--virtually no blood or scabbing. They carefully washed it the next day and showed me how to shampoo. Great post-op hand-holding all the way, and Dr. G responded to an email same-day later in the week. Pictures are below, and obviously there’s not much to report in terms of growth. My scabs are falling off, but the recipient area is hardly noticeable because although it was shaved, I’m combing my hair forward. Hard to cover up the staples, but they’ll be out in another week. I’m definitely experiencing a lot of tightness in my donor area given that it’s been excised three times, so I’m trying especially hard to keep my head tipped back to keep tension off the scar. I’m a little concerned about a widened scar given that it’s my third strip, but I’ll keep everyone posted as that progresses. Please fire away with questions/comments; I’ll be checking in every day. Thanks! When reviewing pics, please keep in mind that the after pictures are both immediately post-op and then the next day; my hair is wet in both. Remember that the transplanted area contained both native hair AND previously transplanted hair, so the density will be much, much higher than the number of grafts you can see.
  2. Hi Guys, So quick update...Dr. Pekiner agreed and thought I wasnt a good candidate..but Dr. Scott Boden who did a consultation in person said I was. Would it be worth it to go to Dr. Dorin to get a second in person opinion?
  3. Hey guys! Quick update..I reached out to Dr. Pekiner and being the great doctor that he is, told me that I did not have a suitable donor area based on the photos that I provided. However, Dr. Scott Boden who I had a consultation with in person stated I was an excellent candidate back in March. Now I need help in making a decision. I am thinking of going for another consultation with Dr. Dorin in NY to see if he also believes I am an excellent candidate or not, or just going off of Dr. Scott Boden's recommendation. IF I go to a consultation with Dr. Dorin and he says that my donor area is good, I was thinking of potentially relaying this message to Dr. Pekiner and still getting it done in Turkey. If that is not a good idea, then I will have to decide between Dr. Dr. Dorin and Dr. Boden. Dr. Boden I met in person, seems really nice and even did the hair of some guy who was on the bachelorette. He is also featured on IAHRS.org, but it doesn't seem like many people know him on this website. Dr. Dorin is way more well known on this website, but I have obviously not met him before. What do you guys think based on the information I'm giving you? Really appreciate the help and like I said I have felt so lonely in this process, it really helps to have people looking out for me and willing to talk to me about it.
  4. In 1989 I was a college freshman with thin hair that was starting to fall out. Graduated in 1993 and had considerable hair loss. By 1994 I was almost done hair-wise, very traumatic for a young man who is just starting his life, I freaked. That winter, watching a late night informercial on HT's, I though I had the answer. After two consultations with the 'Dr.', I fell for the micro/mini graft, very small scar, full head of hair, etc from this Long Island Medical practice. No internet at the time and I didn’t even know plugs were a thing and as been repeated as I have recently read up on numerous message boards, “You trust a doctor and never would you think they could be so unethical.” This is much different thn a snake oil salesman selling a hairpiece. This is a doctor doing surgery that lasts a lifetime. As a young man I should have understood the supply and demand model and I still kick myself in the ass falling for the full head of hair BS. 3 Procedures winter and spring of 94. By fall I was obviously very unsatisfied. Unnatural small plug look with a few large ones, bad distribution, horrible donor strip scarring, etc, etc. My hair is kind of fine/thin so I feel it was not as bad as some I saw as I noticed more people with plugs (never really noticed them until after my ordeal started) but now I was stuck and stupidly went for one more ‘free’ procedure as I was told they just need to make it more dense.The next 4 years I got by and since my hair is fine/thin texture, under certain lighting, dark, sun, etc it just looked like a young man getting pretty bald. Under many other situations, angles, etc you could see the plugs, cobble-stoning, unnatural hairline, etc. I got by, met a nice girl (now my wife) who never really noticed until I opened up to her, etc, etc. Some days, and even to this day, people don’t notice. Other times in a conversation I could see eyes look at my hairline. Sometime when I am out I see, or just maybe imagine, people checking out my hair/hairline. Myself, as I wrote, I got by but was, and still, always self conscience.In 1998 I visited Dr. Bernstein (at the time he was with NHI in Ft Lee NJ) and felt he was very honest though understandably I lost all faith in the medical community, especially cosmetic medicine. He explained what he and Dr Rassman were doing (which now made more sense to me) and how he could try to camouflage. I can say that I think Dr. Bernstein used some of the best technique that 1998 technology provided and he tried to camouflage my pluggy look. I forgot how many grafts I received and the ones he added were the size he stated but my coverage, and at that point I was very realistic, was still less thn desirable. This is in no way a bash of Dr Bernstein as he never up-sold me, never promised a full head of hair, etc. He was ethical and honest with his graft size/hair per graft, no bumps from his grafts, and it was definitely an improvement though not what I thought it would be. I understood a full head of hair would never be in the cards for me but thought I would get more camouflage in my hairline and coverage. I’ve lived the most normal life I can since thn though I am always self conscious. So here I am today, 25+ years in this journey and things are changing. I have lost even more hair recently (crown area getting even larger) and I am graying. The contrast between my skin, gray hair and dark have given me a more pluggy look. Also, I don’t mind being bald but so is the case of a 48 year old compared to 23 year old staring out life. I actually think I pull off the very thin/very balding look ok and I do not even mind my gray hair. That said, I’d like to look more natural (or at least less pluggy) and maybe even fill in more spots to even out the thinness. My donor area seems kinda depleted so I am not sure how possible any of this is. I am looking at a few possibilities to just move forward being less self conscious as my life moves on. I have no problem with my scalp showing and just want a more natural appearance. I could care less if the plugs in my crown are removed/re-distributed to other areas as my crown will never be covered anyhow. Some things I’d like to accomplish if even possible or recommended. 1) Remove larger plugs in my crown area slice them into smaller grafts and redistribute them to areas of need to try to maybe balance out my thin appearance 2)Remove larger plugs in my hairline and a lil behind hairline dissect and re-distribute them to that same area or others depending what doc says. (Does plug excursion and re-distribution grow at a decent rate or is the return rate poor? What about scarring? Blood supply/flow to the head if plugs are removed and redistributed.)3) See how that goes and if I have any hair left to use in my donor area, just use that to even out some coverage for a thin or more natural appearance in areas of need. With FUE has the donor hair expanded to your sides?4) Fixing my donor scars if even possibleI do not know what is possible but I do know technology and techniques have changed since 1998. I also know, though many docs are very reputable I am very nervous having someone touch my scalp again. I have started reading message boards on HT repairs, articles, researching Dr’s etc. For you young bucks and older gents out there thinking of getting HT’s, you have great resources and you truly need to do your HW. I am shocked that there are still ‘doctors’ who will do bad work and destroy peoples lives. It is all really sad and sickening on so many levels. I live outside of Princeton NJ. Some of the Dr’s in my area that have popped on my radar in my short research are Dr. Bernstein, True and Dorin, Dr Carlos Wesley, Feller/Bloxham, . Anyone have any experience with their plug excursion and re-distribution? What other Dr’s should I put on my radar as I start my research? I am not against travel and have just started reading up on Dr. Cooley in NC, Dr. Lindsey in Va (against excursion), etc. Thn again, I have no clue and do not want to fall for some sales pitch again. Cost is also a factor though I will cross that bridge when it comes and make my decision. That said, who else should I look into? I’m sure I will have more questions but here we go with my first post. Thank you for reading and I look forward to answers and more discussion on this in this thread. Thank you in advance to any and all who read my journey and help answer any questions I've asked and will ask.
  5. You’ve been given some great names. I’ll add hasson and wong, Dr. Gabel, Dr. Mohebi, Dr. Bloxham is in NY so definitely worth a visit. Most definitely True&Dorin as well. If I’m not mistaken the place you went to in Long Island had a sanitation worker performing surgery- this is why our community is so important. If you have any questions feel free to pm me anytime. Glad you found us were here to help. https://www.google.com/amp/s/www.nydailynews.com/news/hair-raising-tale-deceit-article-1.176678%3foutputType=amp
  6. Dr Bloxham has some great recent results - however I would caution that Dr.Bloxham is relatively new as compared to other options with super long track records in NYC - I've seen some pretty amazing results coming from Dr Carlos Wesley in NYC - if you stack up recent patient and clinic results from True/Dorin, Bloxham, Bernstein, Wesley........I dont think anyone is coming close to Wesley for number of homeruns...........next I would say True/Dorin for the extensive track record......Bloxham is coming up however but if you asked each doctor for their total transplants performed in their career I think he would be well behind these guys and I'd like a doctor who's seen every possible situation in their career or in the OR
  7. Patient presented with a Norwood Class 4 pattern with the intent of restoring density to the frontal recession and crown region. He had undergone an initial FUE elsewhere that was not successful. Total of 773 grafts allocated to the vertex and 2573 grafts to the frontal third. *Manual motorized FUE * Prp/Acell *Propecia
  8. 2342 ultra-refined FUs transplanted to recontour frontal frame and add internal density. 728 singles, 1569 doubles, 45 threes. PRP administered intraoperatively.
  9. Terrific work Dr. Dorin, that crown looks like it has filled in significantly. It seems that the PRP with Acell combined with the Propecia are really helping the patient keep the non transplanted hair healthier too?
  10. Patient profile: Age - early 20's Donor supply - @ 7000 Using Propecia for 10 months For patients that want to do FUE but are unable to pull off a full donor shave, we do offer a "band shave" FUE which allows a patient to undergo extraction with the ability to conceal the extracted region. Often the downside with this approach is that it limits the amount of grafts that we can safely extract from a more concentrated area but for this patient considering his early age and propensity for potential full head baldness given his family history, doing an FUE of 616 grafts accomplished a meaningful change while considering the big picture. This patient still has over 6000 grafts to be used for future planning.
  11. Dr. Dorin is a great surgeon, he seems to be a lot more conservative. He get's great results from a small number of grafts. He performs both FUE and Strip, so that's a big plus. Dr. Bloxham is a great doc as well. He's not overly aggressive in my opinion, he prefers strip over FUE for the majority of his patients. They're both good, but have different philosophies.
  12. It's hard to really know if it helps or not. Weather you use it or not, how can you really know 6 months later if your hair would have grown the same or not. I know True & Dorin recommend it and they charge about $150 for it. My personal opinion is if the Dr. thinks it will help then it's worth a few dollars more to use it and not wonder whether or not you're doing the best that you can for your transplanted hair.
  13. Wow. This is exactly what I was looking for. Dr. True or Dr. Dorin are even a couple of the surgeons I'm considering! Keep it coming, folks. Thank you so much!
  14. Here's a 3 month update on our younger landscape guy Robert. Look back a few of my posts and you'll see his case in great detail. Before, during, first week... Well he was supposed to show up for a month scar check, but eventually showed up and did this nice short video. He wears a SHORT haircut and we discuss his scar. He's already been calling in saying its growing but really he's now at only 4 months so it'll be a while but I bet we'll have a 13 month video showing results, if not sooner. The video is: http://www.youtube.com/watch?v=nZOFEJBJHEk&feature=youtu.be and the original video is: http://www.youtube.com/watch?v=N2iy2AUIlfA Dr. Lindsey McLean VA
  15. 3 patient submitted results - 2 by FUT and 1 FUE (roll mouse over pic for count)
  16. 1568 grafts via FUE transplanted. Patient goals: to create a lower hairline that fits his face and to reframe his temple peaks. Graft make-up: 405 singles, 984 doubles, 179 threes. This result is 9 months post-op. Bio-adjuncts liposomal ATP and PRP supplemented this procedure.
  17. 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.
  18. Thanks, Phil. I was not aware of how much or little is shaved at the donor site for a strip. I see your point. Then I really only need to be concerned with finding a good doctor who doesn't require shaving the recipient site. I like Dr. Dorin, just want to make sure I do my due diligence. Just to reiterate my question to all: Who does good hairline work who also doesn't require shaving the recipient site?
  19. Thanks JJ and Phil for both responses. I met with Dr. Dorin since he doesn't shave either the donor or recipient. You asked why I don't want to shave the donor? It's tough to hide it, no? My hair grows pretty slowly, what do people do in the meantime?
  20. I know this is an old thread but I'm looking to find out which doctors don't require shaving the recipient and donor sites. I'm in NYC but would consider traveling to get to the best doctors, as I've seen many suggest on these boards. I had an online consults set up with Dr. Rahal and I emailed them this question but they haven't responded. It looks like, from the posts of others, that Rahal does require shaving. I met with Dr. Dorin and he doesn't require shaving either. I have a family member who got pretty nice results with Dr. Dorin and didn't shave his donor or recipient site. Dr. Dorin suggest FUT, since I don't have a super dense donor area. But, he said I would need two surgeries to get a dense hairline, that's why I would like to try Rahal or someone else to see if I can get a dense hairline with one surgery. He suggested 2000 grafts. Thanks in advance for any replies.
  21. For concise background, you can check out my profile for a link to my transplant journey. I’m 6 weeks out from my latest FUT procedure with Dr. Dorin, which was my fifth with him. I’ve consistently had excellent experiences with Dr. Dorin and his staff. He’s honest, personable, and absolutely cares about his patients and providing good results. On 6/21/18, he transplanted 1660 grafts, the majority of them to my crown. He also added grafts to my hairline and a few areas behind the hairline that needed reinforcement. After this latest procedure, I’ve received about 8300 grafts total. My hope is that I get nice improvement in the crown and get the last bit of density and softness in my hairline that I wanted. Beyond that, I will wait and see what my situation is after 12 months. I’m fully aware that more crown loss will almost certainly occur, but I feel very good about my prospects to counteract that. I’m extremely fortunate to have excellent donor characteristics and I can get at least a few thousand more grafts via FUE, and there’s always beard hair to tap if things get really bad. Honestly, Dr. Dorin didn’t explicitly rule out getting more grafts via strip, but we’ll have to see. If I get very greedy, I’d probably like to save a few hundred grafts for temple points, but that’s my lowest priority. My hair obviously looks thinner now, as some native and transplanted hair was sacrificed during the procedure, but that seems to already be growing back. I’ll post some photos of that and my crown in the next few days. Otherwise, scar is healing nicely and my recipient area redness is minimal. For now, I’ve attached some morning of and immediate post op pics (a few may be out of order, but pretty obvious which is which). Fire away with questions or thoughts.
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