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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. -
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 -
I really, really need advice.
lebaneseguy replied to lebaneseguy's topic in Hair Restoration Questions and Answers
Hello, I see your point; I definitely didn't get the consultation from one clinic but several ones and made many calls and took advices from many people who already had undergone a HT (such as Matt Dominance). I do follow Joe Tillman and Dr. Bernstein as some suggested, I have for some months now. I definitely will be consulting more clinics (world famous ones) for better understanding. The clinic I was recently contacting told me my donor holds up to 4500 grafts, and they usually resort to beard hair in case the donor area is risky to take more from. I did ask more about Finasteride, and I will be looking more for advice from pharmacies and local Drs. I was told it's safe to take it, and should I experience any side effect I can stop immediately. In any case, thank you all for showing concern and giving out advice - I am new to this forum as you all know, and I had some doubts about everything. I had way too many questions and was hesitant about the credibility of all the clinics I contacted, hence my topic here. I definitely feel more comfortable about taking decisions after asking here, as it's experienced people directly in contact with me instead of just theoretical research I still have a year to go in case I wanted to go for HT, I'll be spending the whole time doing as much research as possible to make sure I make a decision that will make me happy Regards -
Bernstein Medical Announces Scalp Micro-Pigmentation (SMP) Program Bernstein Medical’s Scalp Micro-Pigmentation (SMP) program is now in full-swing. The program is led by hair restoration surgeon Dr. Christine Shaver and SMP specialist Jennifer Oakley. “We bring Scalp Micro-Pigmentation to Bernstein Medical in order to provide an important non-surgical option for our patients. SMP can be used in a variety of scenarios with the most popular uses being the camouflage of thinning areas of the scalp and disguising a prior surgical FUT scar. Effective use of SMP can allow patients to stop fussy cosmetic concealers such as Toppik and provide a more elegant solution.” What is SMP? Scalp Micro-Pigmentation (SMP) is a non-surgical, medical-grade tattoo procedure that involves the placement of tiny pigment deposits within the upper dermis of the scalp that simulates the appearance of naturally growing hair. For people who are balding or thinning, the goal of the SMP treatment is to create an illusion of thicker, fuller, stronger hair by simulating the look of individual hairs. Many people find Scalp Micro-pigmentation serves to be a great option for hair loss, especially for those who would prefer a non-surgical cosmetic procedure. Call us at 212-826-2400 to schedule your SMP consultation or email us at contact@bernsteinmedical.com. -
Great results Dr. Bernstein, The results look natural and age-appropriate, the patient must feel great 👏- 1 reply
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Simply put, Dr. Bernstein is THE BEST in the field of hair restoration. He is an innovator, and at the forefront of the newest techniques. He is a tried and true expert in the field. He is honest and does not make any false promises or claims-unlike other companies who offer discount coupons and make ridiculous false claims. His results are better than i could have ever imagined. I truly feel like a new person. My confidence and self esteem has been greatly enhanced. The entire staff at Bernstein Medical is fantastic. Everyone is professional, courteous, friendly, very competent and do everything in their power to make the experience as easy as possible. They answer any and all calls immediately and Dr. Bernstein is always available for any follow-up visits or concerns you may have. -
Please recommend doctors to me
Melvin-Moderator replied to Win88's topic in Hair Restoration Questions and Answers
Feller and bloxham, Dr. Wesley, True&Dorin, Dr. Bernstein also Dr. Rahal -
Who would you choose
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This is a thread documenting my recent 2612 graft FUE procedure with Dr. Rahal. I'm a NW3A in his late twenties/early thirties who has battled hair loss over the past few years. I've done the big three more or less consistently over the past few years and finally bit the bullet on doing a procedure after some bad experiences at work and with women that convinced me beyond a shadow of a doubt how important having hair really is. After doing some research last year I finally settled for Rahal. The Procedure As the thread says, I did a 2612 FUE procedure, which yielded a total of 5336 hairs. The total graft count was as follows: 1 unit: 547 2 unit: 1426 3 unit: 619 4 unit: 20 His head nurse technician Mike did all the extractions with a motorized extraction tool. Rahal did the incisions, and finally implanting was carried out by Mike and another experienced technician (6-7 years of experience). Two additional staff members assisted. The procedure lasted for 12 hours from 06:00 until 18:00. During the extractions I bled a bit more than usual, otherwise the procedure went smoothly. The clinic as most of you know does multiple procedures; another FUE procedure was going on the same day, for crown work. I stayed awake for the majority of the procedure and opted not to watch a movie as I wanted the staff to remain focused while they were working on me. My impression during the procedure was that they took their work seriously. I have some minor observations that I'll share based on the final outcome, but nothing serious. Worth noting here is that they were using a tool that had been introduced during the past 2.5-3 months, called an "implanter". This is essentially a plastic tube that reduces damage to the graft during implantation and allows for denser packs. According to the doctor this is part of a major shift across the industry. Apparently Lorenzo, Bernstein, Erdogan and other famous docs are already using this, though since adoption is somewhat recent only Erdogan has final results on file. During my consultation I became quite concerned about this as it introduced an additional element of uncertainty to the process. However, the doctor stressed to me that Erdogan's results had been amazing and that the introduction of the implanters would reduce risk rather than increase it. Pre-op/Post-op and Patient Experience As detailed by many others over the years here, this is a clinic that takes patient care and post-operative follow-up very seriously. A lot of thought has been put into the "journey" that you take from showing the first interest to submitting the final follow-up photos. I won't spend too much time on this here, just state for the record that I have had a uniformly positive experience throughout. I really like the staff and they have come across in a sympathetic manner in all the interactions I've had with them. The doctor himself is a good man. He has rock solid ethics. While there I met a NW3 patient who to my semi-trained eye would seem like a good candidate, but was ultimately turned down. For this patient there was a risk of donor depletion, and his final pattern of loss would make the transplanted hairline seem odd if the loss progressed. Another, younger patient was turned down during my time there as well, due to his loss being too minor. Some reviews I saw characterized him as seeming "rushed", however I have had the complete opposite impression. He has been very generous with his time to address my various concerns and my myriad of different questions about post-op care and the procedure itself. Personality-wise he does have a bit of swagger to him, however in a way that I associate with high performers from work. Full marks for him and his team in this respect. My concerns The industry is "caveat emptor", and I take some blame for poor research in selecting my surgeon. My intention with choosing Dr. Rahal was to derisk my procedure, which I thought I had done by going for a clinic with a good reputation online. I did not want to go to Turkey, and had been somewhat underwhelmed by the results of the euro surgeons that were available in a reasonable timeframe. Rahal is routinely mentioned in top #3 lists across the internet and I also spoke with a former patient of his that I trust, and got his assurances that a large FUE session would not be a problem. I dodged most of the obvious bullets, like ARTAS, newbie techs, dense packed Armani hairlines, cheapo third-world surgeons and fallen greats. However, I overlooked the negative experiences of forum member Sean (which I believe was due to a combination of physiology and inexperienced staff members working on him during his initial procedure) and SugarHighs (combination of factors but probably physiology seeing as the hairs grew and then shed), and some of the other rather subpar FUE results floating around here. Ignoring the fact that Sean's procedure was back in 2011, most of the results you can find are rather old and there isn't really a plethora of recent complete hairline FUE results similar to what I was going for. Some of the patient results posted here evidence poor growth, though there is clearly a trend of better performance over the years. Mike told me that they generally don't get poor growth, time will tell but he seemed confident when he said it. I should mention that the most recent results you can find here, those of zx_toth and ftbpicks, both had very good growth and final results. I guess I've attached some new meaning to "doing your research". It really means going the extra mile; scouring the web for results and first-hand accounts, and compiling everything into a timeline. Contact former patients that stopped updating. Get everything in writing before you go in, like how many techs will be working on you, what tools will be used and the doctor's involvement in the surgery. No matter how this procedure turns out, I'll be much more careful with my next one, that's for sure. The road ahead: The way I see it, I'm taking one for the team here, essentially. If the results turn out great then that should help assuage anyone who's apprehensive about doing a larger FUE procedure with this doctor. As I said, the patient experience is top notch and I'd recommend anyone that can handle a FUT scar to go with Rahal. Attached are some pre-op, post-op day 1, and day 11 pictures. I'll get some higher res pictures soon so I'll upload those as soon as possible. However, having browsed a few of these threads over the years I know most people don't care too much about the post-op pictures, the final results are what matter. I'm committing to semi-regular updates until the 12 month mark. Other recent FUE patients of Dr. Rahal are welcome to post here, especially those that are far enough out from the procedure to see how it turned out.
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Recommendations for Dr Stoller?
Melvin-Moderator replied to ghnyc's topic in Hair Transplant Experiences and Surgeon Reviews
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. -
Feller and Bloxham, True&Dorin and Dr. Bernstein. I wouldn’t limit your search to New York though, spend some time on the forum looking up reviews and visit the surgeon that impresses you the most.
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Dr. Wesley, Dr. Bernstein and Feller and Bloxham arew worth looking in too. Also, True and Dorin are nearby as well.
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Dr. Bernstein in NY does plug removal and sutures the holes closed. I've seen some photos on here of work that Dr. Gabel did, where he removed plugs, and it looked good. -
Dr. Dorin treated this patient's corner/temporal hairline erosion as well as crown thinning with 1400 grafts FUT. Follicular units consisted of 506 singles, 871 doubles, 3 triples. Bio adjuncts: PRP (applied to recipient areas & overall thinning pattern) & Liposmal ATP holding solution / post-op spray application . -
This patient after 3 previous strip surgeries and 1 FUE consulted with Dr. Dorin on making the most of round 5 after poor donor management and a underwhelming restoration thus far. Dr. Dorin performed a hairline session via manual FUE consisting of 888 grafts - 377 singles, 439 doubles, and 72 threes. This result is post-op 12 months.
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Dr. Rahal or Bernstein?
HairLossMentor replied to JT65's topic in Hair Transplant Experiences and Surgeon Reviews
I agree. I have some very real concerns about Dr. Diep's donor area management. In my opinion, the damage I'm seeing is not acceptable. Plus some of his patients are in a lot of trouble should their hair loss progress. Even shaving at a number #1 donor looks okay. The money shot is when a guy shaves down after FUE. Here is an example of what I mean. Looks like The dots are from a 1 mm punch. 3000+ of those in your donor shot-forever. You really need to stick to .8 and below. Despite what they say, size does matter. Re: Dr. Bernstein. He's been around for a while and is more of a academic now. Plus he also supports ARTAS and is a shareholder I believe? I just can't support any Dr. who promotes the robot, after I've personally seen the damage it does to guys donor areas. I am open to debate with any Dr. who supports and offers ARTAS. But I doubt that will ever happen. The technology just isn't ready in my opinion. What's scary is that everybody in the industry seems to agree-yet some actively promote the robot, and privately say it's crap. Sad -
I started noticing that I was going bald when I was in my early twenties. To be honest, it was hard to notice at first: a few hairs growing just in front of my hair line, my temples becoming slightly more pronounced, that kind of thing. Periodically I looked into possible treatments and occasionally tried various homeopathic remedies, but nothing worked. But I was too busy with school and work and life to really worry about my hair and so I let things go… probably a lot longer than I should have. When I hit thirty years old, though, I knew I had to get serious about treatment. Anytime I got out of the shower I was reminded of how much my haircut concealed my hair loss and I dreaded humid days that flattened out my hair, windy days that pushed my hair from its most advantageous position. I had tried Propecia, but I was unlucky enough to have experienced some serious sexual side effects and, as the cure is worse than the disease in that case, I didn’t know what to do. I had just moved to NYC and began researching ways to prevent the hair loss again. I began using Rogaine again (which had never seemed to work for me), biotin supplements, and shampoos that promised to increase volume and density. Nothing worked. It was time to look into hair transplant surgeries. As I researched, I noticed that there seemed to be a small-scale war going on regarding hair transplant surgeries. One webpage/person/video/review would claim that one procedure was the best and the other was terrible, and the very next webpage/person/video/review would say just the opposite. The whole thing felt counterproductive, and I knew I needed to actually speak with someone, and most importantly, someone who performed both treatments. Dr. Bernstein’s clinic came up very quickly as I researched hair transplants. I called and researched a number of places but costs were either prohibitively high or suspiciously low and none of the results page (that shows the images of previous clients) looked as good as Dr. Bernstein’s (even when I cross referenced it to those with the specific Norwood level I thought I had). I decided to bite the admittedly expensive bullet and schedule a consultation. I was extremely nervous when I was in Dr. Bernstein’s waiting room and had close to no idea what to expect. When I was called back to meet with Dr. Bernstein he asked all the questions you’d expect him to ask: Have you tried Propecia? Rogaine? How long has this been going on? What was I hoping to achieve? He examined my scalp and my hair and informed me what he thought he could offer. We talked about the benefits of FUT and FUE and which would be better for me. I know that some have commented that he is terse in his bedside manner, but he and I were able to joke a bit and I found his knowledgeable and calm approach reassuring. I was not looking for a new best friend or someone to hold my hand, I was looking for an expert surgeon, and Dr. Bernstein’s ability to answer my questions, his patience with me as I asked and re-asked an unending stream of questions, and his methodical attitude was more than I could have asked for. We spent more than 45 minutes in that initial consultation and I told him I needed time to think about it. He told me that if I ever wanted to come back, the price paid for the original consultation would cover any subsequent consultations within the year. I thought a lot about what to do over the next few weeks. It was a big decision and everyday new questions piled up in my mind. I decided to schedule another consultation and in the next month I was in his office again asking him about how the hair would age, the recovery timeline, and tons of other things. He was extremely clear and direct while being patient with me. He made it clear that he was available for any questions I would have. On my way out of his office that day, I was sure I would get the procedure. -
Spray grafts after surgery or no ?
SBSinNYC replied to Legend007's topic in Hair Restoration Questions and Answers
Post op for me was 3 very gentle washings on day 1, 2 very gentle washings for days 2-7, 1 gentle washing through day 10. Try to sleep more upright for first few days. Baby Shampoo. Dr. Bernstein. That’s it. 4.5 months in and things seem to be proceeding as expected. -
Hi everyone...I have never done a blog, so I hope I am doing this right. I am a 37 year old female, and I just had my surgery with Dr. Bernstein about 6 weeks ago. I have always had a receding hairline, more of a typical male pattern of hair loss. Dr. Bernstein was fairly confident I would be a good candidate (although he can be a bit standoffish at times). He said I had a stable donor area, so I took the plunge. Now, I am scared I made the wrong decision. This is such a scary stage because I look so thin from the shock loss. I am afraid I made my hair loss worse sooner by doing this. I was hoping for some positive feedback...I know people say it gets worse before it gets better, but I'm scared it won't get better. Thank you everyone.
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I'm sitting in the very nice guest house next to Dr. Rahal's clinic recovering from a 2,123 graft strip procedure (my second) on Thursday, October 9. The entire experience has been as easy and pleasant as surgery can be, and I have nothing but positive things to say about Dr. Rahal and his staff and facility. I'll add more details in the sections below; my previous pictures, both from before and after my first procedure, are in the link below. I'm getting my immediate pre- and post-op pics from Dr. Rahal's office, as well as my graft breakdown count, this coming week. I'll update then. Hair Restoration Websites Background I had a 1,450 FUT procedure in June 2012 with Dr. Robert Niedbalski in Seattle, where I live. I was a NW II prior to the procedure and was not on a DHT inhibitor. My procedure turned out well, especially for a surgeon that's not a member of this community. However, Dr. Niedbalski barely discussed hairline design with me, and implanted a very steep V-shaped hairline that I never cared for (pics in the link above). I wanted a lower and flatter hairline, and after years of research I settled on Dr. Rahal. I also began using Proscar, Nizoral/Regenepure, and Rogaine in September 2012. (Dr. Niedbalski did not mention getting on a DHT inhibitor prior to surgery.) I decided to "upgrade" to Avodart in mid-2013, and I currently take both Proscar and Avodart. That seems redundant, I know, but there's at least one study that suggests that they complement one another and have a greater inhibitory effect when used in tandem. The medications slowed my loss dramatically, if not halted it altogether. I cannot really tell a difference between my hair now and its appearance after full growth from my first surgery. If there has been any loss, it has been extremely minor and virtually undetectable. My Experience with Dr. Rahal I did an online consultation with Dr. Rahal in mid-2014, and we settled on a 2,000 graft procedure. As I explained, I wanted to boost the density a bit from my first procedure and then flatten and reshape the hairline. I dislike the V shape, and the angulation of the grafts from the first procedure was a bit off. The grafts were placed too perpendicular to my scale and stood straight out--I couldn't comb my hair down and have it lay on my forehead. I wanted that corrected. I flew to Ottawa from Seattle two days before my procedure so I could make my pre-op appointment the day before. At my pre-op, Dr. Rahal listened to me explain my goals, then examined my donor and recipient areas. He spent about half and hour drawing and re-drawing the hairline, which I appreciated. I pushed him to work on my right temple a bit more; it has always (since I was a kid) been weaker than the left, so he spent a bit of time combing through that area and outlining where he was going to reinforce it. Once the hairline was finished, I was done for the day. On the day of the surgery, I arrived at 5:30am. Dr. Rahal had to leave that afternoon to travel, so he wanted plenty of time with me to avoid being rushed; I was his only patient for the day. The procedure was extremely straightforward; strip excision took roughly 30 minutes and was completely painless. Even the numbing process was barely a pinch. After the strip was removed, the rest of the staff left to dissect the grafts and Dr. Rahal and I chatted while he made the incisions. He has a pretty reserved demeanor that's very analytical and cautious; he doesn't project any of the arrogance or aloofness that sometimes comes with plastic surgeons. He was pretty candid with his thoughts about the industry and his practice, which I appreciated. (I'll keep those private out of respect for his candor.) I couldn't feel a thing while he made the incisions. Once he wrapped things up, a swarm of techs descended on me on started implantation while I watched a movie and listened to music. His lead tech led the entire process and kept an eagle eye on everything that was happening; she was especially watchful of the front edge of the hairline and was inspecting all the grafts placed. She's been with Dr. Rahal for a long, long time ("I'd need a calculator to tell you how long," she said), and his pickiness has clearly trickled down. I started to regain some sensation after about 90 minutes, so Dr. Rahal re-numbed me. The entire thing wrapped up by about noon. Dr. Rahal sat down with me while I ate lunch and gave me his cell phone number so I could get in touch while he was traveling. His assistants took post-op pics and went over aftercare, then gave me my care package and walked me the whopping 50 feet to the guesthouse. I had a post-op appointment the next day to go over cleaning procedures and make sure everything looked up to par. The Guesthouse Here's the best thing about going to Dr. Rahal, aside from the great work: the guesthouse. The guesthouse sits immediately next door from the clinic, so it's a whopping fifteen second commute back and forth. The house is brand new; the clinic moved last year and both the clinic and guest house were new construction). The house is a large common area (roughly 1,000 square) feet with an open kitchen, living room, and dining nook. There are five guest rooms, each with their own bathroom, that open off the common space. The fridge is stocked with breakfast food--milk, juices, eggs, etc., and there are some other things, like bread, provided. There's a fireplace, an entertainment system with Netflix, and a washer/dryer. I'll upload some pics soon, but suffice to say that it's gorgeous--really nice finishes and furniture all around. The great thing about the guesthouse is the camaraderie. There were four other guys staying there when I arrived, and we hit it off right away. They were all in various post-op stages (two FUT and two FUE), and they let me take a look at their work. They inspected me, too, and looked at my first scar. I had my first procedure locally, so I went right back home and resumed my life. But I can't imagine traveling and recovering in a hotel room in isolation, surrounded by people who'll look at you funny if you poke your head outside the room. At the guesthouse, though, you're all in the same boat, and you can socialize without feeling self conscious. We walked around the house with the grafts exposed, ordered take out together, and took walks to Starbucks to stave off cabin fever. One of the guys even stayed a few extra days because he was having such a good time. I can't recommend the guesthouse highly enough; it's a huge, huge benefit of going to Dr. Rahal. (Doesn't hurt that it's also dirt cheap.) All in all, I had a great experience. I'm following the aftercare to a T and feel pretty close to 100%, aside from the tug at the back of my scalp from the scars. I'll update regularly. The attached pics are all 1-3 days post-op.
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Best Hairline Doctor
Melvin-Moderator replied to djohnson's topic in Hair Restoration Questions and Answers
There is no best, but there are several qualified doctors in New York, we recommend Dr. Wesley, Dr. Bernstein, Dr. Feller and Dr. Bloxham. I would at least have a consultation with the aforementioned doctors to gather some expert opinions. Warm regards-Melvin -
Is PRP worth the price after FUE?
Spaceman replied to newpatient99's topic in Hair Restoration Questions and Answers
You may see minimal improvement, but you would be wise to have low expectations. Dr. Bernstein has some before/after pictures along with solid information here: https://www.bernsteinmedical.com/medical-treatment/platelet-rich-plasma-prp/. Keep in mind these are probably the best results he’s seen in his practice with PRP and several are also on finasteride and minoxidil. -
Thanks. You don’t hear much discussion of Dr. Bernstein on this forum, but I wouldn’t let that dissuade you. His practice just doesn’t fit the profile of many posters. He has firm opinions about what will work best for his patients long-term and won’t sugarcoat his opinion just to get you in the door. These forums have many non-US posters. Many are in their twenties. Many have years to go until their conditions are stabilized. Bernstein would likely tell them to go on meds and wait. Many won’t want to wait. Bernstein is in NYC. Not a cheap town to travel to and stay in for several days. Not a cheap town to put together a top notch office and staff in. Compared to Turkey, he’s much more costly I believe he’s the real deal, though, with a depth of knowledge and experience that is hard to match. His website is an incredible resource, from FAQ’s to detailed discussion of procedures to original research.
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I am 8 weeks post FUT with Dr. Bernstein. Unfortunately that puts me around the rock bottom stage, so I can’t give you much information about the final outcome. The surgical experience itself was very professional. If it helps, I am NW5, 55 years old, straight fine hair. Started 1mg Finasteride three months ago. Had a full head of hair at 40, but three kids can produce a lot of cortisol.
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Yea, this forum is pro-transplants for sure. Anything beyond NW5 is mostly about 'reasonable expectations' after all there is only so much hair you can replace that is lost - however, those w/very favorable hair characteristics who are NW5 or NW6 'skew' the results in my opinion. For example, on hair forums the vast amount of photograph evidence is from doctors or patients that get very good cosmetic results (even w/advanced baldness) vs the amount of pics we see that are not so good. That's a fact. For example, take a look at Dr. Bernstein and a few other doctor's websites (Shapiro/H&W) that feature ALOT of NW5/NW6 results and take a good hard look and think to yourself w/your own hair characteristics and long-term hairloss pattern if those are results that would seem good to you if you did 3 FUE surgeries? I don't recommend hair transplants to anyone - but that doesn't mean my opinion is any more valid than the many people who have had hair-restoration surgery and been completely satisfied with it. My entire family male history on both sides are all NW5's/6's and 7's - someone like me who began losing his hair at age 21 should probably not ever start going down the hair transplant road. I waited until I was 23 years old to begin. Even w/the arsenal of meds & stuff I am on (in my profile) I have only managed to slow down my long-term hairloss slightly (and I have been on alot of stuff for 20+ years). 8.6K+ hair transplants w/fine straight hair doesn't look NEARLY as full as someone like Bill (managing publisher) who has wavy thick hair. That's just a fact. My expectations have diminished as I have gotten older, yet I will be having another surgery in Feb '19 because I want enough hair in my frontal hairband and 1/3rd of my head to have enough hair to create the illusion of a near-normal head of hair. After that final FUT I'll finish off w/FUE - but this is my personal journey and the FUE will be for my midscalp to the back of my mid-vertex. I'll have to let my crown slowly lose but have a 'base' of grafts to keep the natural crown whirl. Even w/13K of grafts w/my type of hair (fine/straight on very white skin) the contrast created doesn't create the illusion of a full head of hair throughout my entire head of hair. Of course w/a bit of dermmatch and/or hair volumizing fibers and such it looks pretty near normal - but that can be a pain in the ass everyday as well (which I don't do on a regular basis). Even w/temporary SMP or even permanent ink via Mark Weston that is NOT exactly like natural regular density hair - there is no magic bullet. PRP and laser helmets are still not well documented. So, it never really ends, in a manner of speaking. It is all about personal perspective and realistic expectations under all lighting conditions etc... All I know is that if you are commited to the long haul and are not taking any systemic meds/topicals/hair laser/prp or whatever to slow down hairloss - is that hairloss is progressive (the severity depending on your genetics and family history) and anything can happen when you are much older.
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