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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. 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
  3. 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?
  4. 2342 ultra-refined FUs transplanted to recontour frontal frame and add internal density. 728 singles, 1569 doubles, 45 threes. PRP administered intraoperatively.
  5. 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.
  6. 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.
  7. 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!
  8. 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.
  9. 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.
  10. 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
  11. 3 patient submitted results - 2 by FUT and 1 FUE (roll mouse over pic for count)
  12. 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.
  13. 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?
  14. 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?
  15. 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.
  16. 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.
  17. Patient in mid 50s received an FUE hair transplant from Dr. Dorin for frontal restoration. This treatment consisted of 1282 follicular units of which 427 are singles, 679 doubles, and 176 threes. Result is 1.5 years post-op. Bio adjuncts Liposomal ATP spray for post-op healing and intraoperative PRP administered. Patient with likely progression to a NW 5A, fine hair, donor supply @ 5000 grafts. Propecia intiated just prior to surgery.
  18. 2 years post-op: 1945 follicular unit grafts transplanted consisting of 608 singles, 1206 doubles, 131 threesPRP applied intra-operatively throughout frontal recipient area and thinning top/crown.Propecia initiated 2 months prior to hair transplant.
  19. Feller and bloxham, Dr. Wesley, True&Dorin, Dr. Bernstein also Dr. Rahal
  20. Thank you for your inquiry.......we don't have the post-op pics for this case that we normally like to include Dr. Dorin uses a handheld motorized punch. P-size on this one was .9 mm Cheers - OH
  21. Your journey is really inspiring. Dr. Dorin has done an amazing job. How short are you able to cut your hair around your donor scar? It looks pretty incredible after 5 surgeries!
  22. Hello everyone, Today is the 2 month anniversary of my 1700 FUE with Dr. Konior on October 19th. I've been a long time lurker of these forums and not much of a participant, but I've been researching hair transplants for years ever since I started to lose my hair back when I was about 20 years old. This year, I finally decided to pull the trigger. Background I first started losing my hair at age 20. This was very stressful and a huge hit to my self confidence, and I started doing everything I could to combat the loss. Unfortunately I had read far too much about negative side effects from Propecia and did not start it right away (huge mistake that I still regret). Instead, I used methods with very low effectiveness such as the laser comb and Nioxin. 4 years later, with my hair loss getting worse, I finally decided to see a dermatologist to talk about Propecia and he greatly eased my concerns about the drug. Told me that the vast majority of his patients have zero side effects, and that I should start immediately. I ordered generic finasteride online and started it right away along with Rogaine foam and 2x / week Nizoral. Within just a month, I noticed tons of new hairs coming back. A year later, I recovered more than 50% of what I lost, and at the time I was ecstatic. Since then, my hair loss has remained mostly stable, and I honestly can't tell if I've lost any more hair over the past 10 years. But I was still very much bothered by having a see-through hairline, and because of a bald spot in the front center of my head that never recovered, I always had to comb my hair to the center as a mini combover to cover the loss (pic below). Choosing Dr. Konior Like I said, I've been on this forum for years, and I have not seen a single bad result from Dr. Konior, or any unhappy patients. Also, I had emailed Dr. Konior 4 years ago for a virtual consultation, and he was by far the most communicative and thorough in his responses to me. I had also considered Dr. Erdogan, Dr. Bisanga, Dr. Dorin, and Dr. Wesley. This year, I decided it was time book a procedure. I had the money saved up and I was completely ready to go. Dr. Konior had been concerned about the quality of my donor area in the initial consultation via email. I had taken photos in very bright light and in the photos my donor area looked sparse. To make sure this wasn't an issue, I took a day trip to Chicago just to meet with Dr. Konior and have a proper in-person consultation earlier this summer. I was told that I was a good candidate and that I would need somewhere between 1000-2000 grafts to recreate the hairline and densify the frontal region. During this consultation, my decision to go with Dr. Konior was solidified. He was direct, upfront, extremely knowledgeable, and very detail-oriented. If I had to choose one word to describe him, I would say "perfectionist". I was originally booked for May 2019, but luckily a cancelation came up and I was able to get a spot for much earlier. The Day Of The Operation Long story short, having an operation with Dr. Konior and his staff was honestly the best medical experience I've ever had. Everyone was so professional, meticulous, and kind throughout the whole day - and for the 2 days of follow-up - that I was completely blown away. I won't get into all of the details (unless anybody has specific questions) but one thing that immediately impressed me was that Dr. Konior must have spent an hour just drawing and redesigning my hairline until he thought it was absolutely perfect. Like I said, perfectionist. I sat there still and quiet just letting the master do his work. When I finally got a mirror and was able to see the line he drew, I was thrilled. It was EXACTLY what I wanted, a slightly lower hairline, drawn naturally, with a bit filled in at the temples. It was a very, very long day. I arrived at the office at 6am and I didn't get back to the Comfort Suites hotel until around 10:30pm. It was virtually pain free and even the numbing injections didn't really bother me. The hardest part was having to sit still for long periods of time, as it was tough to find a comfortable position. After some trial and error, I figured out what worked for me and the rest was pretty easy. The First 2 Months Aside from the embarrassment of walking through the airport looking like a mutant, and constantly worrying about hitting my head on something, the first couple weeks of post-op care was pretty easy overall. Dr. Konior's instructions were very well laid out and I didn't really have any issues aside from some general anxiety about losing / damaging grafts. The one thing that is more difficult than I anticipated, even after being a member of this forum for years, is the ugly duckling phase. Most of the grafts shed by Week 3 and I also had some shock loss in the recipient area, leaving me with a very awkward, uneven look which you can see in my photos. I've been in hiding from most of my friends for the last couple months and only now starting to feel more confident going out to social events, even though my hair looks worse than ever. Other than that, I'm patiently waiting for the growth to start. I think I've already seen some sprouts here and there, but nothing substantial at all, and of course it's far too early for that anyway. I'm just happy that at this point, since my native hair is getting longer each week, I'm looking less like a freak and more like a guy with bad frontal loss. Photos This is what I know most people want to see, and I've been taking photos regularly since the operation to keep track of my progress. The photos are presented in the following order: - Pre-op dry - Pre-op wet - Pre-op in sunlight - Pre-op at an angle - Pre-op combover - Night of operation - Day 1 - Day 1 donor area - Week 1 - Week 2 - Week 3 (notice the shedding!) - Week 4 - Week 4 donor (very happy with how undetectable this looks at this length) - Month 2 In my last pic, the one from today, the whole top of my head was trimmed by my barber to try to even it out and match it with the thinness in the front of my head. Normally that area looks a lot thicker. Well, that's all for now! Special thanks to everyone on this forum, but particularly guys like Spanker, 1978matt, and Reyes1 who posted extensively about their experiences with Dr. Konior. I'm sure I am missing other Dr. Konior patients who have posted on here, and thanks to you as well, but I can't remember all the usernames. Will try to keep this thread regularly updated, and also happy to answer any questions if you have them.
  23. Never heard of this doctor, but I would look in to Feller& Bloxham, True&Dorin, Dr. Wesley and Dr. Bernstein in the New York area.
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