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  1. I met with Dr. Ron Shapiro last month in Minneapolis for a face to face on this same issue. He advised he could excise my grafts. If I wanted to proceed with another surgery I could a month later.
  2. Hi Jana, I am a patient of Dr. Ron Shapiro. I used this forum as a decision basis for selecting a surgeon in particular your blog entries.  I had a transplant August of 2017 and documented my progress and visited the office several times post surgery and had at least three discussions with Dr. Shapiro about density concerns. I sent him an email twice over the last two months.  And a very detailed patient assessment this week.  I feel like the clinic is diverting around my density concern questions. It’s a simple equation of 2700 grafts in an area coming out to far more grafts than what is present on my scalp. I’m very displeased with the hairline density it’s so sparse. And I was a low Norwood situation with a lot of native hair. The density just isn’t there for what I paid for.  I would like to ask you to please step in and see what you can do to help me resolve this.  I have not documented my case on the forums as I have been patiently trying and waiting to see how Dr. Shapiro handles my situation.  Post operative issue resolution is just as important as pre op and operative in fact maybe more important. I appreciate anything you can do to help me reach a resolution. 

    1. hdude46

      hdude46

      Did this ever get a response from smg?

  3. My story. This website has given me a huge amount of information, and to be honest I wouldn’t have gone through with my recent hair transplant surgery if it wasn’t for this forum. Therefore I feel obliged to give back to the community and tell everyone here about my story. I have split this up into 2 parts and several chapters. I suggest that any new comers, or people who haven’t themselves had a HT read the whole thing. The more experienced members on this forum are probably better off picking out the parts of interest as I admit it is long winded. DISCLAIMER - Just to point out, that I am not a doctor, I don’t represent any doctors, and I have nothing to gain whatsoever from writing this (other than alleviating the guilt of taking so much from this website and never giving anything back). I take no responsibility at all for any decisions anyone makes from my post (or any future post), and I mean no offence where my comments get controversial. I also have another user name on this website that I am not using now as some of the HT surgeons I refer to anonymously below will be revealed by doing a simple search under my old user name. So yes I created this account now, and this is my first post. If anyone wants to ask me a question by all means do, but I won’t be checking this very often so please don’t get offended in my delay in answering. Here is the breakdown in case you want to pick and choose what you want to read. PART 1 – MY STORY. A – ABOUT ME. B – HOW I CHOSE MY HT SURGEON. C – SHAPIRO MEDICAL GROUP. D – THANKS TO… PART 2 – LESSONS LEARNT. A – MY THOUGHTS ON THE COALITION LIST AND THIS WEBSITE. B – WHAT CRITERIA WHEN CHOOSING A HT SURGEON. C – THE PYSCHOLOGICAL CHALLENGE ** MAYBE THE MOST IMPORTANT PART TO READ. D – RESEARCH. E – OPERATION ITSELF. F – TIME BEFORE GOING OUT INTO PUBLIC - GROW YOUR HAIR AS LONG AS POSSIBLE. G – THINGS I SUGGEST YOU BUY PRIOR TO SURGERY. H – INCONVINIANCES AFTER SURGERY. I – OTHER THINGS. PART 1 – MY STORY. A – ABOUT ME. I am a NW 2 – 3, and am now in my mid 30s. I have been receding slowly all my life and it wasn’t until November 2010 when out at dinner that a very close friend made a innocent comment about my hairline. I had always thought to myself that one day I would have a HT to rebuild my hairline, but you never really expect that day to arrive when it does. I went to my dermatologist and he immediately prescribed propeceia. I absolutely ruled it out from day 1 for two reasons. 1 – I know myself and I don’t want to take a pill every day for the rest of my life that wasn’t originally created for hair loss. 2 – I have heard too many horror stories about propeceia. (Now I have so much that I want to share with this community that I really don’t want to go into the whole Propecia debate!! If any of you want more info there is loads of it on this forum and also there is a website called propeciahelp.com which is a totally biased appraisal of propecia and seems to be the Mecca of all disgruntled propecia users, but at the same time it left an impact with great enough effect on me that I will never ever take it. To conclude, propecia was more of a physiological decision for me as the slightest underperformance in the bedroom would have had me panicking that it was the meds.) Instead I went on Biotin on a daily basis. My recession from November 2010 to the date of my HT surgery was very minor but this of course could be coincidental. B – HOW I CHOSE MY HT SURGEON. At the time I made the decision to go for a HT I discovered this web site from a Google search and there is an absolutely HUGE amount of information here. It actually became a bit of an obsession. I spent about an hour at the end of every working day reading stories and educating myself. For all newbies, I suggest you click on “today’s posts” and go through them every day. It’s amazing how much you learn (make sure you read my Part 2 – A below though). My dermatologist recommended a local HT surgeon and told me all the usual words “he is the best there is”, “Hollywood stars have gone to him” etc… I went to visit him (please don’t ask me in private messages who, as I don’t want to discredit him as I chose not to go with him) and to be honest I was impressed with his credentials, but there wasn’t enough before and after photos, and I felt that I didn’t get a chance to ask him everything I wanted as I felt rushed. All round the chemistry was wrong between us. I also went to see another doctor I found on this website (again no names) and who gets a lot of coverage and has a good reputation and I personally wasn’t at all impressed with him or his setup. (more below). So I read more and more and I realized entirely from this forum that I had to go and visit Dr. Ron Shapiro. His description as being very consistent, conservative and good with hairlines jumped out t me. I had 2 more backup doctors to go and visit if I didn’t like him. I happened to be in the west coast for work back in April so on my way home to Europe I flew to Minneapolis and I went and saw Dr. Ron Shapiro and I knew right away that he was the one for me. Well I took up an hour and a half of Matt’s time, 30mins of Dr. Shapiro’s time, 2 further follow up phone calls of 40mins each to Matt and about 40 hours of research to go from 95% sure to 100% sure! Also, when I learned that Dr. Ron has performed more HT surgeries on HT surgeons themselves than any other surgeon out there I knew he had to be very good. To read the continuation go to the below “WHAT CRITERIA WHEN CHOOSING A HT SURGEON”. C – SHAPIRO MEDICAL GROUP. SMG all round were absolutely fantastic. There is so much you can read about them on this forum that I won’t be repetitive but all round I couldn’t have asked for anything more. In brief… I got in at 8am and left at 6pm, and I promise you all that I actually had an enjoyable day. I got drugged up on valium, didn’t feel the slightest pain whatsoever (apart from the forehead numbing shots which were about 5 or 6 3seconds long very sharp pains), watched TV and chatted with everyone there. They really looked after me and made me feel very well taken care of. Dr. Ron was calm and I never felt rushed at any point. He even stayed an hour longer to do some final touch ups. For everyone reading this, SMG deserve pages and pages of credit, and all I can tell you is that I never in my wildest dreams (and hours and hours of research) expected things to go as smoothly as it did on the day. That night I even had dinner with no pain at all. The only discomfort came on days 5-12 after as my donor scar healed. I never needed pain medication. I suppose it was a bit like having a slight ear ache. You can get on just fine with your day but its bothersome. D – THANKS TO… OK not to sound like I’m receiving an Oscar… Matt (the patient care director) was amazing. How he always listened to my questions and never made me feel crazy for asking them (there were a lot of questions). Dr. Ron Shapiro, is an absolute gentleman/perfectionist/professional. He has a very calming persona and you just feel when you are with him that everything is right. Janna, was also amazing and helped me so much on the day and did a great job placing the grafts. Her after care follow up emails have been amazing too! All the technicians (I think I had 10 cutting my grafts) were really nice and chatty and did a great job all round. I also want to thank very much HAL and ORLHAIR1 for all their posts. It made my decision making a lot easier and I really enjoyed following their stories! PART 2 – LESSONS LEARNT. A – MY THOUGHTS ON THE COALITION LIST AND THIS WEBSITE. This topic is a little more controversial. Let me first start by saying that this website offers A LOT!! Actually you can pretty much answer any questions and determine whether you are right, or whether you really want a HT entirely from this site alone so long as you use it properly and put the hours in. Although, there is some self promoting, and some propaganda. If something smells fishy, it probably is. The good thing is there a lot of users who will be quick to point out that a surgeon’s reviews sound a little too good to be true. The only issue I have is with the coalition list. I think users have to keep in mind why doctors are on the coalition list. They are there because they meet some requirements and pay the fees. Therefore there are plenty of good HT doctors who are not on the coalition list and some lousy ones that are! I know this is going to open a whole can of worms, but I don’t make this bold statement lightly. I make it from experience. One HT surgeon (the first doctor I saw) absolutely refused to sell himself online because he argues that his reputation and results don’t need it. He is a top surgeon (some would say the best there is) and probably my number 2 choice. (yes it’s his fault and not the fault of the coalition list that he is not on it but just know where you stand with this list). The second surgeon I saw (who is on the list and gets a lot of positive coverage on this web site) really shouldn’t be considered a top HT surgeon by any means whatsoever. It’s as simple as that and I won’t go into any more details. Now if I was to reveal this doctor's name (which I won't) a lot of people on this forum would be furious with me, as I am sure some of you out there think this guy is the best in the world. If I had gone to him and had a great experience and perfect results I would be describing him the exact same way.... But more importantly, if I had gone against my gut feeling, and the results were lousy, I would have always said to myself "I knew I should have listened to my intuition". So the point I am trying to make is go with a doctor you are 100% comfortable with, and if you can't find one keep on looking. There are lots and lots of doctors out there. Also one more point to add... If you hear a certain actor or sports personality or famous person has been somewhere, please don't give that place any more credibility. Do you honestly see Hollywood movie stars or sports personalities staying up late at night doing research on this forum?? Back to the coalition list… I consulted 3 HT surgeons… one is on the coalition list and deserves to be. One wasn’t and should have been. One was and shouldn’t have been. Therefore my accuracy ratio was 33%. Yes I sampled a very small amount of doctors relative to the whole list, but in my experience and in my opinion the coalition list is not the be all and end all! Think of the coalition list like OPEC’s representation of oil producing nations. A lot of the members of OPEC have a huge amount of influence on oil’s supply, but not all influential oil producing nations are members, and some relatively small nations are part of it. Saying all of this though, I don’t want to take anything away from this web site. If it wasn’t for its creation I would never have found Dr. Ron Shapiro, nor would I have had the necessary information to proceed with my surgery. So in conclusion, the coalition list is not the be all and end all, nor do the managers of this forum pretend it to be, and nor do the experienced users of this forum think it is. My message is directed towards those who haven’t yet discovered this for themselves. When I first discovered this web site I actually thought it was the be all and end all, and it took me a couple of months to realize on my own it wasn’t so consider this long winded chapter a catalyst in your thinking process… B – WHAT CRITERIA WHEN CHOOSING A HT SURGEON. Bottom line is you have to have a good gut feeling. I will go through my basic question list, but I think if you’re sitting in the chair having your questions answered before you have a chance to finish your sentence, or if you have a surgeon who rolls his eyes because you ask questions that are hard to answer like “what are my chances of shock loss” or “how much worse is my hair loss going to be if I do nothing” then you have to recognize that something isn’t right. This was my basic question list that I found on a piece of paper. I am sure I asked more at the time though as the conversation progressed… There are many other questions that probably should be asked, but this is most of what I wanted to know. In no particular order of importance… - How long would I need to hide for, post surgery? - Risk of shock loss? - FUE or FUT? - If it’s the right time for me to perform a procedure. - Whether I will need to shave my head prior to surgery. - Am I a good candidate to achieve my goals? I.e. Is there too much native hair in the way, and should I wait before deciding to do this? - Who will be doing the actual transplantations and who will make the actual incisions? - If FUT, how long will my scar be? - How long has the whole team worked together? - How many technicians? Are they employed full time? - Is there anyone I can physically meet who has had a procedure done by you? (This for me was very important). - How many grafts do I have in my donor area, i.e. how many HT surgeries can I have? - Have you ever had a result you considered disappointing? There are way more questions. Remember to ask absolutely everything. No question should be embarrassing to ask. Also, don’t let geographic distance and cost be an issue. If you can’t afford the best doctor you have found, then wait until you can. (Sorry if I offend some with this statement, but don’t let cost be an obstacle. If it is, then think again as you should only be going to who you think is the best. Remember that, not who I think, but who you think is the best.) If you can’t be bothered to get on a plane and fly for many hours to get it done, then you will only blame yourself if the closer, inferior doctor, doesn’t do a good job. Really give your decision all the financial and geographic flexibility you can possible afford. This is for life. C – THE PYSCHOLOGICAL CHALANGE. This was by far and away the hardest part of all for me. Getting my mind around the idea that I would be cutting an 18cm incision voluntarily into my head, or even the concept that as a man I am going for cosmetic surgery was seriously the hardest part. The worry, and the fear of all the scary things like shock loss, a visible scar, maybe having to go again one day in the future etc… all these things scared the sh1t out of me, and for about 6 months I went back and forth on my decision about 10 times. All I can say is you have to overcome these concerns on your own. Don’t let anyone tell you it will all be fine. Find out what needs to be done to minimize all the risks involved and go into the surgery knowing that they might still occur but you have done everything possible to prevent it happening, and if it does happen you have done everything possible to cope with it if it does. As far as I was concerned, I was not at the stage of going through with this until I had exhausted my limits to research. It was only at the point that I was truly looking forward to the surgery, and I was all round 100% positive for the day of my surgery and I was willing to accept any consequence that might arise, that I knew that I was ready. I hope for readers of this post your “eureka” moment comes quicker than it did for me, but I urge you to reach that point before going ahead. On that note don’t ask anyone who you are close to if you should do it or not. It doesn’t matter what advice you get, as the decision has to be 100% yours and no one else’s. For me the physiological barrier was by far and away the hardest part of all. But for me though, when I felt ready for my surgery, I went in with all guns blazing knowing 100% sure that I wanted this with all my heart. D – RESEARCH. This is pretty self explanatory… if you are serious about getting a HT, you have to research and research and still do more research. Don't delegate this someone else! There are a lot of lousy doctors out there and a lot of mis-information. Whatever you do, don’t read a post like mine describing the whole procedure as a breeze, and think that it will be the same for you too. My point is research as much as you can and know what the worst possible outcome is and what the day of surgery will involve. One last thing, go on your chosen doctor’s website and look at his or her results! If you can’t find many on their own sites, or the ones you can see you don’t find particularly good then that should be alarming. Also if you see members on this forum who are praising someone else’s results and you yourself don’t think they are very good, don’t question yourself as to whether you are missing something… mostly likely you are not and the results are simply not good… E – OPERATION ITSELF. I have said it earlier on, but it’s worth saying it again… The operation itself was no big deal at all. I had my girlfriend come with me, which really helped me get over my nerves before the surgery and keep an eye on me that night when I got back to the hotel. I recommend having someone with you if you can but its definitely not necessary. To be honest we both live busy lives and to have 9 solid hours together watching TV, eating Chinese food, chatting and having a laugh with all the technicians was actually a fun experience. The point I want to make is the operation itself (the pain, the inconvenience, the hassle of getting there etc…) should not be a factor in the decision making process. Yes maybe for me (and most people that go to SMG) it was a very easy operation and the only pain I experienced were the forehead injections that lasted about 3 seconds each and there were about 5 of them (not bad for 9 hours!) But the decision making process as to whether to go for a HT should not be focused on the actual surgery. Recovery time and potential consequences and the physiological barrier are way more important to focus on. F – TIME BEFORE GOING OUT INTO PUBLIC - GROW YOUR HAIR AS LONG AS POSSIBLE. Another one of my greatest concerns prior to surgery was how I would look after. I spent many hours trying to determine how long I would need to hide for. (keep in mind I only did my hairline so this may not apply for those doing megasessions). Well I didn’t cut my hair for 5 months prior to surgery. I would say the length of my hair is about 7-8 inches long. My theory was have it long for the surgery and if I can, cut it afterwards… you can’t exactly add it back on after. Well apart from looking a bit scruffy and like I was 18 years old again, it was the best decision I could have made. Two days later I was able to go out for dinner by flopping my hair forward with a centre parting that looked like I had curtains. This look disguised about 95% of all the grafts. Its looks a bit silly, but it enables me to go out care free. I think I should say though that someone who knows me really well, or someone who knows what post operative patients look like would have been able to look at my central hairline (between the curtains) and been able to tell I had done something. I spent parts of the first week out and about… 3 dinners out, my long flight home, an outdoor lunch etc and as people spoke to me I watched their eyes to see if they would look at my front hair line. I only caught one person doing it. After 8 days when all the scabs and ink were gone I didn’t have any fears of people noticing. As for the scar in the back, it’s impossible to see with such long hair. Even on a windy day, 48 hours after surgery I asked my girlfriend to stare at the back of my head and see if could see the reflection of the staples and she couldn’t. Having long hair has helped me a huge amount. G – THINGS YOU SHOULD BUY FOR YOURSELF PRIOR TO SURGERY. - An in shower shaving mirror. I never found anyone here recommending this and I am probably the first… the first week of shampooing is a bit challenging. You have to gently pat the shampoo onto your grafts. As its important to clean all the grafts well on a daily basis, I would physically have get out of the shower every day and stand in front of the mirror making sure I did this right. Of course I would make an absolute mess in the bathroom, so an in shower shaving mirror would have really helped. - A travel neck pillow. Lots of people mentioned it and I went out and bought one and it really helped. Mostly for sitting up in bed while reading or watching TV as it cushions the suture line. - Lots of ice gel packs. For the first 3 days it was very soothing to have an ice pack on my sutures and forehead. - A small empty spray bottle. To better describe this… when you go to a pharmacy and they sell those small (less than 100ml) see through bottles so that you can carry your liquids in your carry on luggage, usually you will see next to it a similar looking thing with a spray top on it. For the first few days (at least with Dr. Shapiro) you have to spray your grafts with grafcyte every 30mins. (It's actually not as inconvenient as it sounds. Set your cell phone snooze delay interval to 30mins, set your alarm, and keep on “snoozing” all day long.) Well as the grafcyte bottle is about half a liter big, it helped me a lot to go out with a miniature version in my pocket, rather than lugging that massive thing around. - A loose fitting cap. Yes you all know about this already, but don’t go trying on your loose fitting cap for the first time post surgery as pressure on the suture line really hurts if you get it wrong. H – INCONVINIANCES AFTER SURGERY. Best to list these in bullet form… - After day 5 my suture line became bothersome. It did make me lose sleep, but not terribly. You can’t really get comfortable lying on your back in bed. You find throughout the day you get a random tingling sensations, followed but a small thud of pain. It’s like the nerve endings are all firing off randomly. Nothing bad enough that I had to take meds but it was an inconvenience. This all stopped when the staples were removed. - Forehead swelling. I was warned about this so fully expected it. Day 2 it appeared. It was its worst on days 3 and 4. By day 7 it was gone. Basically my whole forehead swelled up (despite lots of forehead icing). I noticed it most in front of the side burns. Also you don’t get any wrinkles when you frown. There is a bit of jaw pain, and also your cap will feel a little bit tighter. No big deal but something to note. - The whole 2 week shower procedure is a bit tricky but again if you are aware of it prior to surgery then it won’t be a big deal when you have to do it. I – OTHERS THINGS. - The staples came out on day 12 and it was much more comfortable after that. - I came down with a severe (the worst I have ever had) case of strep throat on day 10 and started Amoxicillin. From all the research I did, from consulting with SMG and from this forum, there are no antibiotics that will affect the outcome of your procedure. - I started shedding my new hairs on day 10, and it was heavier and heavier every day. - Sorry for not posting photos. When I am 6 months out I might put some up and let you know how I am getting on I think the main message I wanted to get across is all above. So that’s about it as far as all my notes and thoughts that I have gathered and the many lessons I have learnt. I have passed on absolutely everything I possibly could from my experience and I really hope this helps a few people out there. It certainly would have helped me a lot had I read this 10 months ago. Good luck to everyone out there and feel free to ask me anything you want. Even if you want hotel advice in Minneapolis. I may not be that quick in responding though. Lastly, thanks to everyone for all their input on this forum and for the creators of this forum. Without it I would never have gone through with my decision.
  4. @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
  5. 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.
  6. 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.
  7. 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.
  8. 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.
  9. 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?
  10. 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.
  11. @davebot8888 the only two doctors I would ever consider for hairline work are Dr. Rahal and Dr. Ron Shapiro. Especially for hairline refinement. Keep in mind Dr. Rahal restored my hairline. I don't see Dr. Ron Shapiro talked about on the forms much. But he's a legend. I'm watching a couple of other doctors who have potential, but I'm seeing some rookie mistakes like with your transplant. Whoever you go with. Just make sure they specialize in hairlines. A monkey can increase the density. That's not a problem. Its the details that matter in your case. And I'm sure half the doctors performing hair transplants today, I'm talking about the part-time hair transplant hacks, don't even know about micro-/macro irregularity. Good news is this is fixable man. Just choose your doc wisely. You have one more shot to get this right. Not trying to be negative. Just make sure to put a lot of thought in your decision, okay 🙂 I'm a repair patient myself and get what you're going through. Free anytime if you have questions.
  12. Some of you guys may have seen these products advertised on Facebook, Instagram or other social media sites. IMPORTANT NOTE: This product is not to be confused with Dr. Ron and Paul Shapiro, these are completely different doctors who started this product. The price is quite expensive and the ingredients lackluster in my opinion. It’s essentially saw palmetto, green tea flavanol and caffeine being marketed as the most powerful DHT blockers on the market. I recommend you guys take a few short minutes out of your day to the read the article and share it if possible, this could potentially help alot of guys out there who are considering this product Do ShapiroMD Hair Growth Products Really Work?
  13. Great info Laser. I appreciate the thoughtful reply. I am currently on 1.25 mg fin from Dr. Ron at Shapiro. Just started that 2-3 years ago. Here’s some photos from Dr. Bisanga when I visited him about 5 years ago. He used some pretty harsh lighting but you can get the idea of what the fin has maintained.
  14. Hi, We have some of the most knowledgeable people on HT here, so always appreciate the feedback. I myself have used this forum since 2003 intermittently, and keep coming back for answers. Some superb folks here Here is my situation, I had my first transplant with Dr Ron Shapiro in 2004. 2500, FUT procedure. Very satisfied with the work and kept me happy for many years. Now 14 years down the road, I am 50 plus and have thinned around the front of the head and have a receded hairline. I am NW3-4, and am probably looking at a 3000 grafts FUE procedure. I was considering going to Dr. Rahal as I like the ultra fine, mega density and super hairline work, but I am in India now and am just unable to go all the way to Montreal for HT. Friends tell me HT in India is quite good nowadays (just they don't have the experience I do :)). I have seen many people with shabby HTs here. But then they did not research the subject nor did they know what to expect. I know there are others, who get a great HT done, but they have put in the research work. My expectations are high so wanted to ask the knowledgeable here on Dr. Bhatti or others in India, on who is world-class in terms of results, consistency, experience, tools used, etc.. Would appreciate your thoughts folks! Ultrafine hair transplant, mega density and superior hairlines are all important. Thanks, Sean
  15. Why don't you try coloring your hair so that the donor has a uniform color. The fact that you have grey patches throughout your donor may be making the donor area appear as if it has thinning patches in the photos. You could also try taking a few videos of your donor zone in an area with natural lighting, and send them in to the clinics you are considering, instead of photos. There are different sites that will allow you to upload content and share it via a link. Finally, you have some of the very best Doctors in the world in the US who produce incredibly natural results. Dr. Gabel, Drs. Ron and Paul Shapiro, Dr. Konior to name a few. Why not consider one of them for your surgery?
  16. Result at 7.5 Months Post Op - Graft breakdown is as follows: 1 hair grafts: 756 2 hair grafts: 1639 3 hair grafts: 330 4 hair grafts: 1 The hairs per graft ratio is lower than average but what an amazing result achieved!
  17. Hi rjw, It is difficult to get a good idea of your donor region by looking at these photos alone. First, the camera faced a bright light when the photos were taken, so the image quality is poor. Also, you hair is very short, so it is difficult to evaluate the donor region accurately from just looking at the photos. Do you have better photos with your hair grown out a bit? Dr. Konior in Illinois and Dr. Ron and Paul Shapiro are quite close to you and both are recommended by this forum. I recommend an in-person consult with a leading surgeon to get a crystal clear idea of what your options are.
  18. Shampoo, I don’t know anything about this product at the moment but I did just want to chime in just to say that this shampoo has nothing to do with recommended hair transplant physicians and Coalition members Dr. Ron Shapiro or Dr. Paul Shapiro. This “hair loss shampoo” is being sold by a Dr. Steven Shapiro, who is not affiliated with our community. That doesn’t make him or his product bad - it’s just that this community doesn’t know much about him. Shampoo, let us know how you make out with the product. Best wishes, Bill
  19. CORRECTIVE FUE WORK ON YOUNG PATIENT (mid 20's) A young patient went to another clinic for FUE work. His receding hairline bothered him a great deal so when he heard he could gain back all that he had lost, he was thrilled at the prospect. However, as we've seen so many times, young patients are vulnerable and can fall for unrealistic promises. The result is afterwards they are left with a lot less money and a head of hair that needs to be repaired. This is what has happened with this patient. After the hairs grew out, the patient realized it was unnatural with the hairline being too low, hairs growing in the wrong direction and the anterior edge being too harsh and straight. He noticed he was already starting to thin behind the transplanted hairs and worried about how this would appear if future loss continued. He did not want to end up with an unnatural ring of hairs in the front with little hair behind it. He contacted Shapiro Medical when he realized his initial HT goals were not met. He sent SMG several pictures to be evaluated. While we could see why he was not happy with his end result from his pictures, it wasn't until Dr. Shapiro met him in person that he was able to thoroughly evaluate and assess what needed to be done to create a more natural look. What needs to be corrected? 1) Hairline too low, especially with patient being so young with potential for future loss. 2) Hairline noticeably asymmetrical. 3) Number of 2 hair grafts at the hairline. 4) Hairs growing out in wrong directions. 5) 2400 grafts has already been used - depleting donor supply, therefore, care must be taken to use rest of donor supply efficiently as possible to not waste any donor. As in many 'REPAIR' cases, it is necessary to conduct the repair cases over multiple sessions to get the best results. In this case, the first session was used to punch out as many grafts as possible that were transplanted too low, too big, or growing in unnatural directions. We recycled the punched out hairs further back where appropriate hairline should have been. At the end of our first session, total of 226 grafts were replanted. The plan for the next punch out session will be to repeat this process. The hope is that these two sessions will get rid of most of the grafts that were planted too low. Afterwards in a final and third session, a regular FUE session with predominantly 1 hair grafts to recreate a natural anterior boarder hairline will be performed. The number of grafts needed will be determined at that time. We've had good results with this approach in the past. Typically, the tiny holes left by the punches heal well with minimal scarring or notice ability.
  20. I'm 16 hours removed from surgery with Dr. Ron Shapiro. Apologies in advance if this is scattered, the drugs are still treating me nicely Posted 2 pictures. Please be gentle, as I'm still beat up and my head looks kind of messy. I'm feeling surprisingly well. I woke up this more with some tenderness but no legitimate pain and no bleeding. Of course, this could change. I'll plan to share progress and pictures regularly for anyone that's interested. 9/28: Pre Op Consult: Traveled from New York to Minneapolis on Monday and went directly to Dr. Ron's office for a consultation. We spoke for about two hours going over expectations, goals, graft placement and just about every other question I could possibly think of. Incredibly thorough. I was very appreciative for how collaborative this process felt. I left feeling very confident and comfortable as a result of the details we covered. And yes, we spoke at LENGTH about FUT vs FUE too 9/29: Surgery Day: Arrived yesterday morning at 8am met by an incredibly warm and welcoming staff. I cannot speak highly enough about the entire group. This makes a world of difference. I picked my lunch for the day, threw on my fancy gown, went over my goals one final time and got started. A large team was there and ready to roll--3 technicians to prepare the grafts, another 3 technicians to assist placements with Dr. Ron. I was his only surgery of the day. I watched 3 movies but forgot most of them. Was pretty high. Sitting in a chair for 8 hours was easily the most taxing part. Strip/Donor Area: Was most concerned about mobility afterward but the pain as of now is pretty minimal and mobility fine. Some light tingling and tenderness but thats really it. Admittedly haven't looked at donor area except for a quick glance but it's fully covered by hair and the scar size/length looked ok. Overall pain-3/10. **** I was told my hair density was extremely high. Not sure what these #'s mean but average density is supposedly 75-100, mine was 129. As a result I think we were able to grab more than initially intended or needed. Subsequently, scar not as long or wide. Recipient area: Looks fine right now. No pain. We did some minor shaving, against my initial plan, but with lots of hair left and many fine hairs in my highest frustration area,I decided to suck it up. It just made sense. I dont return to work until November 15. By then concealers should be more than fine to use and the lightly cut hairs should be normal length. Hairline: Happy with initial look but trying not to scrutinize just yet. Obviously I'm only 16 hours out but feel good about the revisions to hairline. We were going for an age appropriate (almost 35) hairline but one that was very consistent with current look. Density and clean lines was most important. I just took a few pictures (attached) with my phone but will get the office to send more soon. Better quality I'm sure. We went in planning 1800-2000 grafts max after Dr. Ron's initial consult w/ me in person. With the additional supply made available due to my hair density, we were able to go a little higher, 2450. He added some thickness to front-middle, and middle to stabilize. Will report regularly from here. Thanks to everyone that helped guide me through this process. Couldn't have done it without you!
  21. I’ve had a procedure with Ron Shapiro but results were not achieved, but it was not his fault. I’ve been working through scalp issues, with Dr. Konior for the last 2 years. He pointed me in the direction of a great dermatologist, on the West Coast, that specialized in hair loss. I worked with her for the next two years. I made trips back to Chicago for Dr Konior opinion on progress. I’m happy to say that this week I’ve booked a procedure with Dr. Konior. What I’m trying to say, is he didn’t have to put up with me over this period, not knowing whether or not I could ever receive a procedure, but he did. He is everything good about his profession and I have faith that he will do everything possible to get it right. Getting to know him over this period, I know that he doesn’t take his patient’s results lightly.
  22. Thank you for the suggestions everyone. Thank you for the suggestions Wazam. I heard about Shapiro group. But there are 3 names that come up. "Dr. David Josephitis, Ron and Paul Shapiro. I assume all of them are equally well reputed? I will tell my bro to try and consult with Dr Konior also.
  23. FUE in US (Canada too) - Rahal Wong is picking up steam here. hope to see some great work in the future. Outside FUE - Lorenzo Strip - Rahal - Konior - Wong - Ron Shapiro Hairlines in US (Canada too) - Dr. Rahal (hairline king for sure) - Ron Shapiro Crown - Wong, Wong, Wong I had fue with rahal so a bit biassed too.
  24. When this young 23 years old patient came to visit me for a consultation, he was full of doubts. In fact, he already had two Hair transplants, 300 grafts each time. He did not believe anymore in the therapeutic possibilities of a Hair Transplant as the result the two previous surgeries is not visible at all (probably only 200 grafts survived). You can see two scars on his donor area. His laxity is good, and when he decided to make a mega session I collected a big strip, 36.7 cm??. As his density is good (88 fu/cm??) the estimation was to reach about 3234 grafts. Finally, we will have fewer grafts than expected because the two scars present in the strip. 2897 Grafts reached, so 6922 hair (2.4 hair/graft). FU1: 429 FU2: 1232 FU3: 779 FU4: 341 FU5: 53 I developed my usual strategy. The forelock (zone B) (21.8 cm2) This zone, quite important for Dr. Michael Beehner and Dr Ron Shapiro, was privileged. 21.8 cm?? covered with 650 grafts so an average of 30FU/cm??. I placed the best grafts there: FU3: 260 FU4: 341 FU5: 53 so, a density of 30 FU/cm?? or 110 hair/cm2 Zone A (1, 2 and part of 3) (50.3 cm2). It includes the anterior line transplanted with 429 FU1, the zone right behind it (with about 300 FU2) and then a repartition of 534 FU2 and 519 FU3 on the rest of the area. At the end, the average density is 35 FU/cm?? so 74 hair/cm?? Zone C (19.9 cm2) I placed on this zone the 398 FU2 remaining, for a density of 20FU/cm?? so 40 hair/cm?? Remarks The calculation of the mass index transferred, I have already explained it in a previous post (http://www.hairrestorationnetwork.com/eve/showthread.php?t=141783) shows an incredibly low figure. The hair is very thin (an average of 45,5 microns) which gives a surface (on the ground covered by the hair) of only 11.25 mm??, so hardly more than 1/10 of cm??!!! However, the good number of hair reached (about 7000) and especially their curled aspect permitted to have a great result in terms of apparent density. It is essential to spread the hair in the best way possible. A visual wall is created in order to obtain a good impression of density when looking at the person. The role of the forelock is essential. The posterior zone was slightly covered because of the lack of grafts. Probably, the patient will have to proceed to another surgery in the future. On the anterior part, there will be no need of adding many grafts. The anterior line is light and natural thanks to the use of a great number of FU1 (singles). Right behind it, some ranges of FU2 and then there are the FU3 to extend the visual 'frame' towards the gulfs. For many years now, I've been defending my idea that it is not compulsory to use important densities of grafts to obtain good results. This Hair transplant is also the perfect illustration of my point of view. Remember the doctor who preached 100 grafts per cm??, well in this case he could have covered only 29 cm2 In this case, we privileged the surface rather than the density. A good strategic choice in the repartition of the grafts gives at the end an excellent visual result, on an important surface. Note that the most important factor is the density in number of hair per cm?? (which varies between 110 and 40 depending on the zone covered) more than the density of the incisions. If you have any questions, it will be my pleasure to answer you.
  25. Hi All, I'm hoping to get some of your valuable advice here regarding next steps I ought to take. Background: In June 2013, I underwent 1 session of FUT with Dr. Diep - he transplanted a total of 4700 grafts during the session. I was 28 at the time (I'm currently 32). I am fairly happy with the results of the work in my frontal area / hairline - I cannot say the same for the scar I received, though. The explanation from Dr. Diep for the size of the scar was that it was due to insufficient laxity (I would have appreciated had this been taken into consideration during the surgery, and would have lived with a less visible scar and a less aggressive number of grafts extracted in my initial session). I have been attempting to mask the scar over the last few years through a combination of combing my hair strategically + Topik - this process has definitely been a pain to manage on a daily basis. During my follow up sessions with Dr. Diep (March 2014), he said he could use tricho closure to approximately half the current width, and possibly FUE additional grafts into my front, mid and crown area. The tricho closure itself would be free of charge, while I'd be charged for any grafts implanted. He estimated I would need ~4,000 more grafts to get to full coverage, and thought I had enough donor for this. I've attached pictures of both my scar + more pics of my hair pattern so you can see my current density/volume. (For some reason, they keep getting attached upside down - sorry! Not sure how to change that). My plan is to: 1) Undergo scar revision/excision in order to at least reduce the width of the scar (and pray I suppose that it will not stretch post operation). If there are any usable grafts that come out I'd love to have them implanted into the gaps in my frontal area and possibly crown. 2) Evaluate options for either a 2nd FUT session or an FUE session to add coverage. While I could certainly choose to take Dr. Diep on his offer, I also want to evaluate other doctors to choose from - especially for the scar revision. While I don't doubt Dr. Diep's abilities regarding the art of transplantation, I believe it behooves me to at least get some advice on the top doctors noted for scar revision ability. I have noted down Dr Hasson and Dr Ron Shapiro as 2 of the top doctors I'd probably consider for the revision piece. This thread in particular made me think Shapiro would be great for this kind of work: http://www.hairrestorationnetwork.com/eve/167235-dr-ron-shapiro-scar-revision-w-acell-wound-sheets-vitrase-6-months.html I'd love to get some feedback from folks and experts here. Does my plan make sense? Are there any other specific doctors I should also evaluate for this procedure? Thank you in advance!!
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