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  1. That is excellent work Dr. Carman---- I think the planning out portion of how to best meet the patients needs should not be over-looked either. By recreating a small temple point, you actually help pull the look "forward" while still being able to place the hairline in a mature fashion. Additionally, the use of DFU's in the frontal core will bolster density and help maintain a non-see through look, using a minimum of grafts. This is method Dr. Ron and Paul Shapiro will use on occasion and it has yielded tremendous results. I echo Bill's question about the strip--do you normally take the strip out in one section? I know some feel that if a patient is lax enough, taking the strip out in one section reduces transection (the 2 vertical cuts across the strip when removing in 3 sections) so it will be interesting to hear how you approach your strip removals. Again, excellent work so far and excellent planning, IMHO. Take Care, Jason
  2. Mike, Dr. Carman gave you a great explanation above. I never said itching will happen to everyone, but if it happens, it can be normal. It happens to many, but not everyone Bill
  3. Dr. Carman, Nice immediately postoperative photos - the work looks nice and clean. Thanks also for providing a picture of the strip. Just wondering, do you typically remove the strip all in one piece or do you remove it in sections? I look forward to seeing more of your work! Best wishes, Bill
  4. Dr. Carman, Though the photos are blurry like you pointed out, there is a clear difference and big improvement after only 6 months. I look forward to seeing more of your work. Best wishes, Bill
  5. Exibel, Sorry to hear about your situation, but you have come to best place on earth to get help and info. I usually am undecided with my opinion on Doctors that post on a regular basis on this site (I am not judging any docs please do not take this the wrong way....) In this case Dr. Timothy Carman you truly are a class act and from recent example of pt that you worked on an amazingly skilled doctor. You pretty much are consulting this patient right here in front of us all. I could only imagine how good this must make exibel feel. I haven't posted on this site for awhile because "i got my life back" being about 10.5 months post op. Seriously though Dr. Carman you show what a patient should look for as far as ethics and character go when we look for a doc. God Bless you... sorry just had to give credit when credits due.. Enough praising Exibel I hope you find piece my friend....
  6. Well, as a final follow up to my last posting of my "hairstute" journey...I thought I'd follow up to stress the folly of my first 2 hair transplants with Dr. Chajchir. On June 9, 2008 (just 2 days ago), I had a 2000 graft transplant done by Dr. Carman who works with Dr. Reed in La Jolla, CA. Both of these fine gentlemen met with me 3 times over the last year while I saved up my hard earned money for the repair job. Each met with me for at least 1 hour or more to discuss the likely outcome. I'd like to stress that each of these two gentlemen spent this time with me not even knowing if I would in fact go through with the procedure. It's now Wednesday night. The procedure was done Monday over the course of 7 hours. The precision is exact! There is little to no pain in comparison to my h/t with Dr. Chajchir and little to no swelling at all this time!!! My procedure with Dr. Chajchir lasted just 2 hours and the whambam-thank you maam left me terribly scarred and infected with a donor site that remained infected for months and a head of hair right out of a barbie catalog. I cannot stress enough to anyone desiring a hair transplant to do your homework. The money I saved in Argentina was spent many times over in repair costs, grief and personal embarrassment. God Bless. J.
  7. NYC, Welcome to our forum community. How long ago did you have your hair transplant? I have found that hair is a little harder to manage/style and slowly becomes easier up to 1 year or even better at 18 months. Hair is rarely placed to grow straight up, as Dr. Carman said, typically angled similarly to your natural hair. You can always try using other styling products to see what works best for you. Best wishes, Bill
  8. Thank you, Dr. Carman. I'll give a sharpie a try. I'd like to get some pics up next week.
  9. Dear Dr. Carman, Your reply couldn't have come at a better time, I am extremely pleased that you took the time to review my case and I really needed the opinion of a doctor. I'm having hard time thinking that I've been a tester of a butcher and her experiments. I'll try to be patient for now and maybe in few months I may come and see you at your clinic, once again thank you.
  10. Pat, Thanks for providing a detailed writeup of your visitation with Dr. Carmen. I've also had the privilege of speaking with him numerous times, learning more about his ultra refined techniques. His passion for his work really comes out when talking with him and from the posts on this forum. These surgical pictures look good. I look forward to seeing more of Dr. Carman's patient results. Best wishes, Bill
  11. Dr. Carman, Thanks for bumping this important thread and congratulations for becoming a proud smile club member. What a good cause to help restore a child's smile and giving them something to smile about! Bill
  12. Thank you Dr. Carman and Behappy for your help. I will make an appointment with my physician to see if finasteride (Propecia) is right for me. I was using rogaine foam for 1 year and it did not stop my hair from falling out. My hair continued to fall out at an alarming rate and it was not till I purchased the Lasercomb that the hair loss stopped. I understand now that I have a limited amount of donor hair and I will take my time and not rush into restoration surgery. I will keep you all updated and let you know what I decided to do when I see my doctor. Thank you all for your help. I greatly appreciate it.
  13. gallup56- Welcome to the HTN website. I have looked over the three photos you have submitted; it appears that your hairloss is most evident in the hairline, frontal forelock and posterior frontal forelock area, is that correct? At your age, I would be surprised if taking finasteride, at 1 mg/day, would have any physiologically dependant sexual side-effects. If that were to occur, those symptoms would reverse in 2 weeks following discontinuation of the medication. I would recommend beginning that medication as soon as possible, as 90% of men taking that dosage will see a slowing or cessation of their hair loss. This is a very powerful tool in the overall battle to maintain your appearance. And although regrowth at the hairline is usually not observed, slowing or stopping the progression of your hair loss is the next best thing. The decision to commit to a hair restoration procedure, especially at such a (relatively)young age should necessarily involve an in-depth personal consult and assessment of your current situation by an experienced Hair Restoration Surgeon. There you will also realize the importance of LONG RANGE PLANNING when it comes to designing and maintaining optimal cosmetic appearance through the next 50-60 YEARS!! Personally, it is not only important to me that my patients look good in one year, my goal is that they look good in 5, 10, 15 years from now. In a nutshell, you have "XXX" amount of hair follicles available to you throughout your lifetime. The art of this procedure is to make sure, as accurately as possible, that whatever restoration design is chosen, it is done so in such a conservative fashion that you will always be "ahead" (no pun intended) of the "supply-demand balance" at any given point following that initial design. Right now, take your time, and, at the very least, see about getting a consult to consider beginning medical solutions (finasteride, rogaine)to help with your hair loss problem. Hope this helps. Sincerely, Dr. Timothy Carman
  14. I'd personally stay the heck away from Bosley. Where are you? There are some fine doctors in many regions of the U.S. In the West, I'd try Alexander in Arizona, Carman in Cali, and the guy in Vegas. The South? My preference, of course, is Dr. Cooley down in Charlotte. But, Charles in Florida is great and there are others. Northeast? Feller, Bernstein, Shapiro, Lindsey are all great. I hear there's a great one in Detroit as well. Northwest - Go over the border to Canada and you'll be pleased with H&W and Nokosutsi (I have no idea how to spell it) in Central part of Canada. But, yea I think you're too young but in the right hands you might very well be a candidate. My fear, if I knew you personally, would be that the Bosley doc will set you up to look funny in 10 years or so. He might be great, but from what I've seen it's 50-50. One of those I mentioned are probably 99% success rates vs. 50% with Bosley or another chain. It looks like the money part won't be a difference with a top clinic vs. Bosley either. So, I can't see why you'd consider them personally.
  15. I never noticed, but I've watched the show religiously from the beginning. But, I think he has. If you look at his temple area it's clear that he doesn't have near the receding in the second picture as the first. It looks great, too. Maybe Dr. Carman or one of the other Cali docs did his. I got the opinion from one of his earlier posts that Dr. Carman might know of some who've had it done.
  16. This right here should set off alarms. As Dr. Carman stated, ESPECIALLY, for someone so young..it would be ethical to recompensate even a little bit.
  17. I agree with you both, and also I think a lot of them aren't aware of the tremendous strides that have been made in this field. There is a thread you can look up where someone posted pics of some famous people who've had a ht. Damon Wayans, Dennis Miller and some others. The Edge (U2) had a bad one, thus the little beanie hat he always wears. I'm with you though, as it seems like they would slide right up the road to Dr. Wong or Dr. Carman and get it done. Word is that Matt Lauer wears Toppik, according to The Enquirer.
  18. teachncoach- Don't kid yourself. Many VERY recognizable and VERY popular and successful "famous people" have had hair restoration procedures. The reality is that the results of the procedure, done under the appropriate circumstances and utilizing the current state of the art, are natural and therefore "undetectable". Remember; the only transplants that you notice are the "bad" ones. Dr. Timothy Carman
  19. Thinman- In the title you chose for your thread, you implored: Please Help!!! In order to receive help, you must let go of YOUR idea of what you need (or want) and LISTEN to others in order to get that which you say you are seeking. Above all, remember; any important decision you make in your life should be made while NOT in a period of emotional unrest. It is best to WAIT, and weigh your options when your judgment is not coloured by anxiety, fear, or uncomfortable feelings you may have over being indecisive or unsure of what to do. The way in which you approach this issue demonstrates to me that you are still emotionally immature (not an abnormal thing at age 22); a sign of emotional maturity is a willingness to do what you NEED to do, rather than what you WANT to do. This, my friend, like most uncomfortable situations in life, is an opportunity for you to grow. Intellectually understanding this point is easy. Practicing it is wisdom. I wish you the best. Dr. Carman
  20. Dr. Timothy Carmen, Thank you so much for sharing your idea with me. I ABSOLUTELY agree with what you have stated. The whole supply>>>demand theory. It makes all the right sense and i am not going to go against it. I respect your opinion.
  21. mrkneed- Virtually "anything's possible", however, statistically speaking, in general the majority of new growth (95%) following a HR procedure will occur by month 12. There may be additional new growth, but the small proportion of the total amount this represents may make it cosmetically insignificant. Dr. Timothy Carman
  22. Confused00- The extent of grafts required to lower your existing hairline is substantial (just my estimate from your photo). I would recommend looking into a hairline lowering procedure, which is quite different from the standard HR procedure. Depending on the amount (distance) your hairline needs to be adjusted to, it may or may not require the use of a tissue expander, a procedure that will cost about twice as much as a standard HR procedure, and is virtually impossible to "hide" while undergoing the expansion phase (about 2 months). That will also preserve any donor you may need in the future. Dr. Timothy Carman
  23. Thinman- Perhaps looking at the big picture may help. In the big picture, hair restoration, to be ultimately successful, must take into account a projected lifetime balance of supply vs demand. All the factors discussed by the forum members ultimately address this issue. When considering these factors, one is able to come up with an overall estimate of the supply-demand balance. If, according to the estimates made by the surgeon, that balance is reasonably predicted to be in your favor (Supply >>> Demand), then, assuming the design of the pattern and density are conservative enough (for one, or projected multiple procedures in the future), then it would be prudent to commit to the procedure. IF, on the other hand, the supply demand is NOT in your favor, you run the very big risk of finding yourself in a position where you have committed to a process that you do not have the resources (hair supply) to complete. It is certainly very cavalier to set yourself up as a "guinea pig", and I would say that to enter into a surgical procedure with that attitude is really selling yourself short. I personally wouldn't operate on a patient who brings SO MUCH uncertainty and anxiety fueling their decision. That's just me, so i don't want to color the Dr.'s position whom you have chosen. We are all entitled to our professional opinions, all the more transparent in a forum such as this. Dr. Timothy Carman
  24. misterno, Proscar requires a prescription. There are some places online where you can buy generic finasteride. Determine which are legitimate and which are not however, is a challenge in itself. What Dr. Carman is saying is that you can still buy Proscar with a prescription, but without going through insurance. By buying Proscar straight out, you will spend about $80 every 4 months instead of $180 every 3 with Propecia. Best wishes, Bill
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