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  1. I am 1 day post op. I had a FUT procedure with Dr. Scott Alexander. I have had 3 previous procedures from a different doctor. 2 of them were FUE and 1 of them were FUT. This is the 1st time I have gone through Dr. Alexander. I did quite a bit of research on him and decided to go with him based on all the good reviews . I will be posting my progress as the days and months pass. I'm here to get support from others as well as to provide support to anyone else thinking of getting a hair transplant. Dr. Alexander and his staff made me feel Comfortable from beginning to end. He took the time to answer all of my questions and seemed to be very ethical. I flew to Phoenix from Northern Cali to have the procedure done. Dr. Alexander payed for 2 nights hotel stay at a really nice hotel called the ARIZONA BLITMORE RESORT. I attached a couple pics
  2. A picture paints a thousand words This is a result posted on forum previously yet wanted to share it to show patients what a remarkable result especially at 8 months post op :cool: Regards Spex
  3. LiLBaldy

    QUESTION for a Doctor

    Thanks for the replies! Just had a HT done by Dr. Scott Alexander 11 days ago. I was just curious how SMP might affect a future HT.
  4. The multigrafts in the hairline are definitely an issue (and there are definitely a lot, almost without differentiation in placement), but personally I think the biggest negative is how poorly the hairs placed in the break from hairline to temple region looks. They are taken too low and rounded almost like a female hairline, and obviously that area requires even more softness and precision in angles to look natural but it looks quite odd. There were likely never hairs in that area to begin with even prior to hairloss. Dr Couto in Spain as you mentioned gets incredible results but his waiting list is 4 years so likely out of the question. Dr. Alexander does good work although I haven't seen any repairs from them and as does Hasson. Cooley also does impressive repair work. Personally I would get the hairs in the temple area removed because they look very much out of place , and across the rest of the hairline have single hairs placed in front of the old hairline, and add density in general. I think it makes sense not to name the surgeon, it gives leverage to get a refund potentially that you don't have if you instantly out them.
  5. The growth should improve, however the only way for it to be significantly improved is if singles grow in front of the multi-follicular unit grafts. Dr. Alexander, is a great surgeon, but I do feel that your surgeon is trying to make things right with you, errors and mistakes do happen unfortunately, but it is how the surgeons deal with them that matter. I hope you receive the results you deserve, if you ever wish for us to contact your surgeon on your behalf privately, please send me a private message, with your name and surgery date and I will reach out to the surgeon.
  6. This patient is currently 6 MONTHS POST OP: FUT 3273 GRAFTS with Dr Scott Alexander and his team in Phoenix AZ. As you can see the patients growth for 6 months is remarkable! He will have further growth and maturing ahead over the coming months up to month 12 + Will aim to update the topic with follow up pictures then. Regards Spex
  7. Just had a transplant of 1500 FU via FUE a few days ago. Originally was recommended 1800-2000. Picture attached immediatley post-op. Here is my review of the day so far: I arrived at 7:30 for the surgery and was met at the desk. I filled out some paperwork and was asked if I brought my post-op antibiotics which the girl at the desk made it sound like they forgot to prescribe, but I did get a prescription on my way out and was able to fill on the way home. I was placed in a chair and although I shaved my head the night before with no guard as requested in the pre-op docs, I was told my hair was too long by the nurse and she shaved it closer. Dr. Alexander then came into the room and mentioned that my hair was too short, which caused me some concern about the miscommunication. Dr. Alexander made sure I was comfortable in the chair, he drew the hairline, he made sure we were on the same page about what I wanted from the surgery, and we had some small talk about what was on TV, and then we were off. He had no problem talking me through the whole procedure which I appreciated. I feel extremely comfortable with his skill and ability. He numbed the top of my head which was slightly painful but only for a few minutes and proceeded to create the holes for the grafts. This took about 2-3 hours, and you could tell he puts a lot of thought into this process and the proper angles for each hair. After the holes were made, we began prep for the ARTAS machine. For some reason the numbing of the back of my head hurt extremely badly. Like an 8 out of 10 on the pain scale where I couldn't even breathe. I had to request Dr. Alexander stop a few times so I could catch my breath. Likely I am just sensitive in that area, but man.... that part sucked. Once he was done obviously the operation was painless albeit uncomfortable. I was given some Xanax to relax during the ARTAS procedure. The staff mentioned the ARTAS takes about 2 hours. During the procedure they kept having discussions about how the machine was being extremely slow and they needed to call the rep to see what was going on. Just a warning: be ready to have your face mashed into some metal for a few hours. Overall I spent almost 4.5 hours under the ARTAS and after a few hours it became extremely uncomfortable. It was really difficult to stay in that position for 4.5 hours under that machine. Again, I'm not sure if this is normal or if the machine was broken, but after 4.5 hours and 1950+ FU removed, I was told only 1500 were able to be transplanted. I am trying to find some research online if this is normal because I hate to lose the 450 units, but I also appreciate Dr. Alexander not transplanting FUs that wont grow and just charging me, which he easily could have done. I think this shows a lot of credit to his character. It does seem odd that it was exactly 1500, but again, its possible it was more than 1500 and he rounded down (its possible too that he rounded up) because of the potential machine error and time in chair so I will refrain from making any judgement here yet. I was then moved back to the chair, and the nurses came in and placed the transplanted hairs into the holes that were previously made. Honestly, I fell asleep during this time. I woke up about an hour later and the nurses were still working. Dr. Alexander popped in a few times to check on their work. They were having some discussion on where to put the hairs since 2000 holes were punched and they were only using 1500. I was done around 5:30pm, was given a prescription for antibiotics and some pain meds, and was on my way and felt fine. One more interesting note. In the pre-op notes it states to stop finasteride and Rogaine, but in the post-op notes it states to use Rogaine at least 2 weeks prior and 2 weeks after the surgery to decrease shock loss. Interesting conflicting statements, and I would confirm with Dr. Alexander which he prefers before your procedure with him. I got home and went to sleep pretty quickly. Some blood seeped through the bandage onto the pillow but there really wasn't that much pain, and I didn't need the pain meds starting the next morning. I removed the bandage and took the attached picture. As I write this 3 days post-op I am in almost no pain, but I do have significant face swelling from transfer of fluids (right eye swollen shut.) Even with the odd experiences during the transplant, I feel comfortable Dr. Alexander is an extremely skilled surgeon and cares about each patient he takes care of. As of today, I wouldn't hesitate to recommend him. I might recommend he coach his staff about the conversations they have in front of the patients because it may cause more concern than necessary, but lets see how everything turns out. I'll update with 1 week post-op pictures soon.
  8. Hi guys, Im posting this topic here as the patient intends to come online here to post his experience with Dr Scott Alexander and his team in Phoenix AZ. Patient pics below : 1962 FUE ARTAS Pre op, immediate and 1 week post op photos attached. Hopefully the patient will come onboard soon and fill us in! Regards Spex 1 WEEK POST OP
  9. Hi Guys, As usual Dr Scott Alexander, Phoenix AZ has hit the ball out the park for this young man. Patient 32 years old and on finasteride came to Dr Alexander a year ago and received 2369 FU via FUT. The results clearly speak for themselves. Regards Spex 1 year post op
  10. Looks on its way to being a decent result, but why post so many incomplete results? Seems to be a bit of a trend with Dr. Alexander. Is it just the standard time patients come in to check-up, or?
  11. Hi guys, This patient came to see Dr scott Alexander to address the frontal region with FUT 2755 GRAFTS (627 SINGLES, 1525 DOUBLES, 603 TRIPLES) 6 month post op photos, immediates, and pre op At this stage safe to say the patient is growing gin very well with another 6 months ahead of him to growth and develop further ! Regards Spex
  12. HairlossBlog, As Dr Alexanders patient advisor I wanted to call him to make him aware of your post. Ive just had a phone conversation with Dr. Alexander and he is intending to call you directly too tomorrow to help clear up any misunderstanding. The main concerns being the 450+ FU were not extracted but remain in your donor region. Youve NOT lost them. They were poor grafts which Dr commented simply transected so despite the fact they weren't good enough to transplant they were not lost. Dr mentioned to me YOU were a very tricky FUE case due to your physiology and hair type. This can happen when a patients physiology just doesn't want to play ball with FUE and less FU are available than originally planned for. Its impossible to assess how well FUE extraction is going to go until its literally happening, even then different areas on the head can respond differently. This would have been the case which ever FUE technique was used , Manual or ARTAS. Some patients are just not ideal or perfect FUE candidates. Also the ARTAS comment about it was running slow I've heard before and Dr confirmed that sometimes it can run slower than others but this doesn't in anyway effect its ability to perform the task perfectly well. It just does it slower. I know Dr wants to speak to you directly tomorrow but I hope in the short term this helps confirm things. Regards Spex
  13. Thanks Gasthoerer. I was disappointed but was hoping this was normal. I couldn't find anything online of the amount of time in the chair or if that many failed grafts was a normal number. I don't have any pre-op pictures unfortunately, but your response definitely raises serious concerns; I know Dr. Alexander frequents this website so I'll follow up with the clinic.
  14. Hello, I went in for an HT with Dr. Alexander about one month ago, and thought I'd share my experience with those of you who might be thinking of choosing the good doctor for your procedure. I had been thinking about getting a transplant for a couple years before actually making the decision to do so. I was living outside of the U.S., and didn't really have any good options for doctors where I was located. Anyway, it certainly gave me a lot of time to think about it and do my research. After looking through possible options and reading through the threads on this board, discovering Dr. Alexander wasn't too hard. His reputation here is top-notch, and I had even exchanged a few e-mails with Spex regarding some questions and concerns I had. Plus, the fact that his office is just a little less than an hour's drive away from my home helped make the decision even easier. I had my FUT procedure done on July 11th. Spex and Dr. Alexander, after having seen photos I had sent them via e-mail, both thought I would need a little over 2,000 grafts to get a nice result. As you can see from the photos I attached, my hair-loss wasn't that extensive (at least, I like to think so, anyway...). Anyway, on the day of my procedure I was greeted warmly by the doctor and the staff. I actually had my consultation with the good doctor the day of my surgery, since I had been out of the country up until that point, coming in beforehand for a consultation was impossible. Like he had told me before, he concluded that 2,100 grafts would be about right. He drew the lines to show me where they would be grafting the new hair (see 'JRPREOP' pictures) and a shortly thereafter, we began. I certainly won't bore you with the details of the procedure, as I imagine everything is pretty standard. The doctor numbed the back of my head and removed the strip of my scalp with little to no discomfort at all. The most 'painful' part was the injections he gave me to numb my scalp! After the strip had been removed and the doctor sewed me back up (I couldn't say with accuracy how long this part of the procedure took) and three or four technicians extracted the individual hairs, the grafting process began. This part of the procedure was relatively comfortable as well. During the grafting process, however, I felt a dull ache/pain in my upper-neck area. I simply thought my neck was stiff from not having moved for some time, but it was the numbing solution that was beginning to wear off from wear the strip had been removed. I mentioned this to the doctor, and he hit me again with a couple more injections, and I was good to go. I believe we officially began the procedure around 8 AM and were finished (after having taken a break for lunch) by around 4:30. While I wouldn't say the time flew by, I would definitely say that I was comfortable throughout the procedure, and when I wasn't chatting with the doctor or the technicians, I just passed the time watching movies (of which there are many to choose). After the procedure (see pics JRIMMEDPOSTOP), I was given a packet of papers that told me what I could expect and how to properly care for my scalp over the following week. I was prescribed antibiotics and some pain pills. The first couple of nights after the procedure, I would wake up because of the pain from where the strip had been cut, but the pain pills that were prescribed to me dealt with that quickly enough, and after a few days, I started having 'wake-free nights.' I went in to see Dr. Alexander yesterday for a follow-up. He said everything looks great, and answered a few more questions that I had. I was mostly concerned with the bit of redness that remained. I will be going back to work abroad shortly, and was hoping the evidence of having gotten a procedure would be gone before I started working again. Dr. Alexander is confident that my scalp should look "normal," by then, so I was happy to hear that. I have also included my 1-month post-op photos (see JR1MONTHPOSTOP). There is minimal hair growth so far (naturally), but it shows how the redness has faded from the grafted area. Overall, I had a total of 2368 grafts (635 Single, 1433 Double, and 300 Triple follicular units). The doctor originally estimated I would need 2,100, so that's all he charged me for. I had a great experience and would recommend Dr. Alexander and his staff to anyone looking to get an HT procedure done. I will keep this thread updated with updated pictures. If anyone has any questions, I'd be happy to answer them. -SogeKing
  15. Hey, This patient came to Dr. Scott Alexander 6 months ago and received 2000+ FU into the frontal third to help reframe and refine the frontal zone. These pictures show the patient at 6 months so be great to see how this great result continues to flourish. Regards Spex
  16. Hi guys see this repair case by Dr Scott Alexander Phoenix AZ. 1564 Grafts FUT (831 Single, 702 Double, 31 Triple) into the recipient area along with Scar Revision Pt is speaking about previous experience in video below too. The previous FUT scar was performed by another local clinic NOT Dr Scott Alexander.
  17. POST-OP Notes: 2190 Grafts FUE (620 Single, 1190 Double, 387 Triple) Pre Op & Immediate post op photos attached. This patient came to Dr Scott Alexander from overseas to have FUE specifically with him via ARTAS. This patients hair line as you can see is nicely packed and as he progresses we will update you. Regards Spex
  18. I watched my hair thin over the past 10 years. I looked at my older brothers and uncles and knew that I didn't want to look like them. I was prescribed Propecia a couple of times and that was not for me and quit within a very short time. I spoke to a couple friends who had had surgery and how they felt about their results. I knew that surgery was the only way that I would get close to the results that I was hoping for. I live in Phoenix and began to research options here in Arizona. I found every option in the city and made multiple appointments. Some were privately owned local clinics, some were nationally franchised. I visited 7 offices total. All of the offices I visited, I met with sales people who were consulting and then scheduling the surgeries. They would schedule specific weekends where the visiting surgeon would fly into town to do the procedure. I met with another nationally franchised company where the surgeon is local but I still never met them. When I went to Dr. Alexander's office, he met me in the front and walk me back to his office. Within a very short time of speaking with Dr. Alexander I knew that he was the very best choice. I cancelled the rest of the appointments. Out of all the clinics, he was the only appointment where the doctor met with me directly. He took the time to share with me his unique techniques and specialties. Dr. Alexander was a hospital surgeon and made a personal lifestyle choice to evolve into hair restoration. His background is very impressive. He uses a custom surgical blade cutter that he showed to me and the difference it makes by allowing the hairs to be implanted closer together and at a natural angle. He explained the procedure of layering the hair follicles from the front with single hair follicles and increasing the follicles with more hairs further back on the scalp. He explained how he designs the hair line. Each one of these factors play a huge role in the surgery thus creating the very best natural looking results. Knowing this, I could not imagine approving a procedure that would be missing anyone of these specialty techniques all performed by Dr. Alexander. I had my surgery 8 months ago. The day of the procedure, Dr. Alexander and all of his staff could not have been more professional and gracious. It was 12 hours long and while I was spent, all I did was sit there. They did all the exhausting technical work - yet it was very clear that all of them enjoy what they do. I saw Dr. Alexander yesterday. I could not be more excited to show him the results. My hair has filled in amazingly well. I've had it cut several times and it lays naturally. The very best part and I think the best compliment anyone could say for Dr. Alexander is that of everyone that I know - no one has ever said a word to me about my hair. It looks so natural that no-one can tell that I had a procedure. If you want the best possible results – Biltmore Hair Restoration is where you go.
  19. This patient received 2468 FU via FUT with Dr Scott Alexander and his team 6 months ago and as you can see for the results are fantastic at this early stage. More growth to come !!!!! Regards Spex
  20. This patient discusses his result and experience with Dr. Scott Alexander which I've attached below for your viewing. :cool: Patient is 1 year post op. 2385 FU via FUT total. 630 single, 1435 double, and 320 triple. As you can see yet another world class result from Dr Alexander and his team from relatively a small number of FU. Regards Spex
  21. This patient came to Dr. Scott Alexander in Phoenix Az for a HT 4.5 months ago. He received 3200 FU - 2500 in to the front 1/3 and 1500FU into the crown region. This will be exciting to watch as it develops. :cool::cool: Regards Spex
  22. Dr. Scott Alexander 1:1 Consultations| Palm Springs| Las Vegas | London Hi All, Many of you I'm sure have heard of Dr. Scott Alexander , if not, he's one of the most renowned and respected HT surgeons in the field. He is based in Phoenix Az and has opened his new offices recently in Scottsdale. Whilst on his summer vacation he intends to still work due to the high level of interest from patients wanting to meet with him for an assessment on their HT and hair loss needs. Therefore he will be performing 1:1 consultations in: Palm Beach In July. Las Vegas in August. London UK in September. If you are interested in meeting with the Dr then please feel free to email me at support@spexhair.com and i can gladly arrange you a convenient appointment. See Dr Alexanders recent results page here too to familiarise yourself with his work if not already . Dr. Scott Alexander Hair transplant results and patient experiences Regards Spex
  23. Hi All, Dr. Scott Alexander recently performed a hair transplant via ARTAS on one of the editors at Apetogenlteman ( one of the biggest male grooming websites in the world ) The editor intends to fully document and update his own blog on the website below: I’m in my early thirties, my hair has been steadily receding for around five years I guess. I only really noticed over the last couple of years. Being ‘older’ and not an early twenty something, I knew my hair loss was likely to be a slow affair- and in truth, I’m not sure how bothered I’d be if it did fall out. Men seem to have varying degrees of worry when it comes to hair loss. For some, it’s the end of all things and for others, they shave their head and move on. I’d say I’m somewhere in the middle on the ‘concern scale’. Either way, I believe the truth is- no one really notices your hair (or not) other than you, so if it bothers you- consider your options. ApetoGentleman Patient Hair transplant Blog can be found here : ApetoGentleman Hair Transplant Blog Ape's editor received 2200 FU via ARTAS and I will also keep the topic updated so we can watch the progress as and when it happens. Regards Spex
  24. Background I am a 34 year old male with light and fine hair. My hair was blonde, but as i have aged it has fallen out and the hair what has remained has turned a light brown. I first was teased about a receding hairline at age 12. My natural hairline was a "W". I noticed hair falling out after towel drying my hair. I went to my doctor at age 16 and was told that it was just genetics. That made me feel self conscious for some time. For at least a decade I have occasionally researched hair loss treatment. I did my best to accept my hair was it was, and for the most part i have felt fine with my hair loss. I am not one of those guys who struggles emotionally due to my hair loss. It turned into more of a "I wish i had more hair" or just the slow sinking feeling in my stomach when i saw pictures. Perhaps that's vanity? I generally just tried not to focus on it. Out of sight, out of mind. Finding My Doctor This past summer I had a deviated septum repaired in Beverly Hills. My surgeon, out of the blue, suggested a hair transplant surgeon that he had seen good work from. I did a lot of research and felt comfortable enough with FUE technology advancement that I was pretty sure I wanted to give the transplant a go. I spoke to many surgeons via email, watched countless Youtube videos, frequented surgeon websites, emailed back and forth with Spex, and of course, followed progress on this forum. After multiple skype/phone/email sessions, I decided that Dr. Alexander was the right doctor for me. I thought for sure i could find a top-notch surgeon in Los Angeles, but the doctor i felt was the best was in Arizona. Go figure! Why I Chose Dr. Alexander I was 99% firm on FUE. For years the FUT donor scar is what kept me from going forward with a HT. I sent pictures to Dr. Alexander. He reviewed and we had a Skype session. He was upfront with me in that my hair loss was progressive enough that protecting and optimizing the use of my donor hair was important. Due to this, he strongly recommended FUT. My stomach sank, so I stepped back from booking an appointment. For a couple of months I researched donor scars, Dr. Alexander's work, reviewed pictures that his staff sent me, and ultimately decided he was right in that I needed to make best use of my donor hair. This became especially important since I have been very resistant to using Finasteride. Dr. Alexander estimated 2400-2600 grafts needed for the frontal area of my head. He said he couldn't do my entire head in one session, so he suggested we wait on the crown. I wanted a one-and-done, but I trusted him as the expert. I am a scientist with an analytical mind. The other doctors I talked to simply had a "trust me" approach. Dr. Alexander instead was upfront about his techniques. He spoke specifically about: the density he targets, how he projects long-term hair loss and will transplant around that, how he uses smaller blades to increase HT density, and the "lateral slit technique". Why don't other doctors give more specifics on their specialization with this cosmetic procedure? I was impressed. Hair Transplant Procedure I flew out the day before surgery. I saw Dr. Alexander and he took a look at my hair. i was pleasantly surprised when he indicated that i had more hair in the center of my head than the pictures indicated. I was told that a total reconstruction would be done of my forward third, as that was the best way to ensure it would look good forever. Dr. Alexander sketched a hairline, we discussed it, and ultimately i told him to do what he felt was best. I went to the Biltmore Arizona Resort after the pre-op visit. This resort was booked by Dr. Alexander's office for me. It is really nice historic landmark. I wish i had more time to enjoy it, but I was there on a mission. The quality of the resort did put me at ease, as I didn't have to worry about accommodations whatsoever. The morning of the procedure went just as I had expected. I woke up eager and anxious, grabbed a protein bar, hit an Uber and arrived at 7:30am. The doctor again took pictures, gave me some (optional) Xanax, sketched a final hairline, and numbed me up. The donor section was removed. This all went relatively quickly, I would say within the first hour. I chatted with the doctor while he worked. The Xanax i was given started to kick in, which made me very sleepy. When Dr. Alexander started making the graft holes he said he needed to focus, so a movie was put on. I lasted about 5 minutes before I fell asleep. I woke up for lunch, which was provided. I was able to take a peek at the team of four technicians dissecting my donor hair follicles. It looked like a true lab, which made me feel at home! After the quick lunch, the doctor sat down with me and explained what was going to happen next. I had an unexpectedly high donor removal of 3000 grafts, despite my thin donor hair. I was going to get a surprise 500 grafts in my crown area. Score! The technicians showed up and began to implant the follicles. I did feel pain, but once I said something they had the doctor numb me up again. Sure enough, once that was done I was asleep in five minutes. I did a very poor job getting through that one movie! I was woken up at 5pm and told all was done. I wonder if i snored? Post-Surgery and Recovery I Ubered back to the resort. The staff gave me a bandana which was much better than my hat. I went to my room, ordered room service, kicked back and wondered, "what the hell did i just do to myself?" The pictures i snapped looked good, but I am definitely concerned that I'll have a large embarrassing donor scar. I'm a worrier by nature, so time will tell. I took my pain medication and passed out. I slept a lot in that 24-hour period! The next morning i showered per the post-op instructions and made my way to the airport. I wore the bandana and my hat. Just as Spex advises on his website, I told security that I had a "procedure on my head" and they let me go through without removing the bandana. Super easy and nothing to worry about. Even if I had to take off my bandana, i wouldn't have cared. As i sat at the gate i was my chatty self and told an old couple about the procedure. I didn't feel any shame, but I did keep my head covered. Once home, i went back to my regular routine the best I could. The only real problem I have had has been being comfortable while sleeping. The donor site is very sensitive, so laying on it is still quite uncomfortable. The first few nights I also found myself feeling very itchy. That has subsided quite a bit. Plan Moving Forward I have fair skin so I plan to be aggressive with recovery. Spex has advised Aloe Vera and distilled witch hazel a week post-op. I will do that after my stitches are removed. I have been taking Biotin and MSM. I have been gentle with the grafts and will continue to do so. I am working from home this week, and am a bit nervous about how I will look when I return to the office on Monday. I'll post pictures to share progress and thoughts. You will see this progress with me, the good or bad. I generally am very private, but I want to help others on their journey. Let's see how this works out...
  25. This patient came to Dr Scott Alexander 8 months ago for FUT surgery Before and after photos attached. 2562 grafts placed in front FUT. Regards Spex
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