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  1. Patient is a 28 year old male with a significant family history for MPHL. We post this case to reinforce the concept of lifetime donor/supply vs lifetime loss/demand, as well as illustrate "what it looks like" seven days after surgery, with short hair; we get that last question very often. Here, our plan includes a conservative hairline with recession, placed behind the existing one, and reinforcement of the midscalp area. It is critical in this patient category to plan for the future by anticipating future losses and NOT attempt to "fill in everywhere". There is a limited donor in every patient that must be respected, and this is usually concurrent with a much larger lifetime demand (area of potential loss requiring transplant). Understanding this lifetime imbalance and creating realistic surgical plans is key to long term transplant success. Also, note the look at seven days post op- if the hair is about 1/2 inch longer, the transplant would be fairly undetectable. It is however, some patient's choice to keep their hair short, so this example is for those considering that option. We are able to accommodate any hair length at surgery. Total: 2528 FU grafts; 728 one's; 1345 two's; 455 three's.
  2. Patient is a 27 YO female who presented with a congenitally high hairline. Cosmetically, the hairline location ideally should be about 1.8-2.1 cm below her presenting location. Options discussed included the option to place an expander with serial expansion followed by advancement 1.8- 2.1 cm. As her schedule would not allow the significant interruption of daily activity that an expander would entail, we elected to recreate a new hairline through FUT. Our plan estimated 1200-1300 FU (30cm2 total area x 45 FU/cm2 density). At surgery, the graft count was as follows: Total: 1346 FU; 532 one's; 640 two's; 174 three's. Tricophytic closure. It should be noted this is stage one of a two stage procedure; in a year, a second procedure will be performed to increase density.
  3. It's been about five days since my surgery with Dr. Carman in La Jolla, CA. I must say I am very pleased so far with my results, and just wanted to share some before and after photos here on the forums. I was probably a Norwood 3 before my surgery, and am probably closer to a Norwood 2 now. I've fought a receding hairline since I was about 18, and am currently on finasteride and rogaine. I'm 41 now, and my hairline has been pretty stable since I was about 26 since I've been on finasteride. I've done research on here for about a year, and decided on Dr. Carman after consulting with several doctors. I was very apprehensive as to going ahead with surgery even though I've not been happy with my hairline for about 20 years now, but he set me at ease with his professional as well as humorous demeanor. He's got a lot of ER experience, so I felt confident that I'd be safe in his hands. It's a bit hard to tell in the photos, but his work is fantastic. He did a perfect job on my hairline, and I'm constantly mesmerized at the new hairs. I know the doldrums will be here soon, so I'm preparing to be patient through the summer. Any feedback is appreciated.
  4. This patient is a gentleman in his fifties with gradual loss over the last 2 1/2 decades, with androgenic alopecia affecting the frontal hairline, midscalp and crown. Our plan is to recreate a conservative hairline while increasing the frontal forelock and midscalp density. CIn the preop photos he camouflagesthe midscalp by a comb-over of sorts, and as such is not able to style his hair shorter, as he would prefer. The posted results show the very early stages of regrowth which began at around month three, and are posted here to answer a frequent concern by patients regarding the naturalness of the regrowth phase. At this early phase, only about 25% of the final growth is observed, yet it is enough to allow him to style his hair with a shorter cut already. The hair grows in as very fine initially, and will appear quite natural, as long as the design is not overaggressive for his age, bone structure, and the pattern of loss in his crown. Our preference in any reconstructive case is to add a subtle yet definable change to the preexisting condition. Total FU grafts: 2424; Ones- 683; Two's- 1506; Three's 133; DFU's- 102. Tricophytic closure.
  5. My HT (hair transplant) surgeon was Dr. Timothy Carman out of La Jolla Hair Restoration in San Diego. I rarely write reviews like this but my two HT experiences with Dr. Carman have been amazing and I want others to get a better sense of what a great surgeon he is. I am currently writing this review during day 2 post-op of my second HT with Dr. Carman. I will get into my experience with Dr. Carman a little later in this review. I was 31 years old when I had my first HT. I have always had a receding hairline, even while growing up, but started thinning and further receding in my early 20's. By my mid 20's, I had heard about HT's but never knew where to begin researching. The tough part is, if you have any interest in having a HT, you immediately get turned off by the idea once you see someone who has had the unfortunate experience of receiving a very bad and noticeable transplant with a poor surgeon. Furthermore, because the majority of people that get HT's don't go around proactively mentioning they had one, you never realize when you're in front of an excellent and natural looking HT. I became very interested in getting a HT when I was speaking to someone at a work meeting and he mentioned he had a HT procedure a few years ago. I was immediately blown away because it looked 100% natural. After thoroughly inspecting his hair and donor area for a couple minutes, I was inspired to start my mission to get the same results! The person I met at the work meeting also chose Dr. Carman to do his HT after meeting with multiple surgeons, which is how I first learned about Dr. Carman. If I can share anything about my HT process and experience that offers additional support or insight for someone else, I have done my job with this review post. First things to do in the process is interview/consult with a minimum of two surgeons. I would HIGHLY recommend meeting with more than two surgeons in order to find the right one because most surgeons produce poor to average looking results that end up looking unnatural and leave patients unsatisfied. I interviewed with five and it was obvious when I came across the right one (Dr. Tim Carman). Although I was able to see Dr. Carman's work first hand with the person I met, I made sure to have consults with 4 additional recommended surgeons (one of which I have seen on this site but will not mention his name). What you will notice in many surgeon's before and after photos is they tend to give everyone a similar rounded hairline that will ultimately look unnatural. Look at good hairlines on men and women that have never had a transplant and you will almost never see someone with a perfectly straight and symmetrical hairline. You should notice that almost every hairline will be organic and have some unevenness, yet so many HT surgeons make hairlines that look too perfect. When this happens, the HT will look unnatural. Throughout my process, I realized that almost ANY physician can transplant hair. In fact, any board certified doctor can legally/technically perform a HT surgery, which is probably why you'll even find random doctors like cardiologists doing HT's as side business. Transplanting hairs during the surgery is only about 10% of the job. The other 90% and most important part is the artistry itself and very few surgeons have the artistic eye to understand how and where to create hairlines and balance depth and density. This skill is what separates the few great surgeons from all the rest. As I've mentioned above, I chose Dr. Tim Carman to be my surgeon. Keep in mind I drove almost 3 hours to his office and had many closer surgeons to choose from but like I said earlier, when you find the right surgeon, you know right away and it's worth any driving distance. During my initial consult, Dr. Carman did not in any way try to "sell me" on getting a HT, which some offices did and were aggressive. Dr. Carman spent 1.5 hours with my wife and me during the consult and after I shared my hair transplant goals, he gave his recommendations as to how we could accomplish them. I never felt even the slightest bit of pressure from him or his staff. Although Dr. Carman was confident in his work and what he could do for me, he still encouraged me to consult with additional surgeons. By the end of my consult, I received a ton of great information and got a true sense that Dr. Carman understands the artistry behind placing grafts so the transplant looks natural in the end. The other thing I appreciated was Dr. Carman giving me his personal cell number. Many other HT offices are essentially brokers for a list of surgeons and I have heard it can be difficult/impossible to get a hold of your surgeon if you have pre/post-op questions or concerns. Although Dr. Carman has reassured me it's okay to call his cell if I had questions, I have always first called the office and spoken with Pam, (the clinic director). Pam is one of the friendliest people you'll ever meet and has always been able to answer my pre/post-operative questions and concerns. I think I remember hearing the technicians that assist throughout the surgery have been working with Dr. Carman for 6+ years. Their expertise is clearly evident. Overall, I hope you will at least have a consultation with Dr. Carman if you're truly interested in having an HT. You will get so much support from him, Pam, and the rest of the staff from the very first phone call you make to them. I am more than confident Dr. Carman will likely be your surgeon in the end if you do a consult with him. As for price...looking for the best bargain was not my main priority but I found the price and number of estimated grafts to be very fair and similar with most surgeons I met with. Dr. Carman is very upfront with his pricing on the website. If you’re traveling a longer distance like myself, the office will take care of the hotel arrangements for a couple nights, which is included in the price quoted at the consult. My surgeries included... 1st surgery I had 1848 grafts and was a baldness class 2 2nd surgery I had approximately 1166 grafts Some before and after photos from my first surgery can be seen on the following website if you copy and paste the link below…I don’t believe the photos do as much justice as seeing the results in person, but they should give you some idea: http://www.hairtransplantnetwork.com/Consult-a-Physician/doctors.asp?DrID=638#page=page-2 The person I originally met at a work meeting who also had Dr. Carman do his HT had 2893 grafts during 1 session and was a baldness class 3. His photos should also be able to be seen on the same site. I hope my post helps some of you out there that are interested in getting a hair transplant but are unsure about the process and how to choose your surgeon. Remember, take your time and don’t let any doctor/staff pressure you to get the surgery (this should be an immediate red flag if they are), do your research, have at least a 2-3 different physician consults and you’ll definitely know when you find the right surgeon. Dr. Carman’s office number is (858)459-8600 and the website link is: http://www.ljhr.com/la-jolla-ca-hair-restoration-doctors/hair-restoration-dr-carmen.html I highly recommend contacting Dr. Carman's office and speaking with Pam. I'm so confident you'll have a wonderful experience from start to finish with them. Thanks for reading this and best of luck with your future hair transplant!
  6. My HT (hair transplant) surgeon was Dr. Timothy Carman out of La Jolla Hair Restoration in San Diego. I rarely write reviews like this but my two HT experiences with Dr. Carman have been amazing and I want others to get a better sense of what a great surgeon he is. I am currently writing this review during day 2 post-op of my second HT with Dr. Carman. I will get into my experience with Dr. Carman a little later in this review. I was 31 years old when I had my first HT. I have always had a receding hairline, even while growing up, but started thinning and further receding in my early 20's. By my mid 20's, I had heard about HT's but never knew where to begin researching. The tough part is, if you have any interest in having a HT, you immediately get turned off by the idea once you see someone who has had the unfortunate experience of receiving a very bad and noticeable transplant with a poor surgeon. Furthermore, because the majority of people that get HT's don't go around proactively mentioning they had one, you never realize when you're in front of an excellent and natural looking HT. I became very interested in getting a HT when I was speaking to someone at a work meeting and he mentioned he had a HT procedure a few years ago. I was immediately blown away because it looked 100% natural. After thoroughly inspecting his hair and donor area for a couple minutes, I was inspired to start my mission to get the same results! The person I met at the work meeting also chose Dr. Carman to do his HT after meeting with multiple surgeons, which is how I first learned about Dr. Carman. If I can share anything about my HT process and experience that offers additional support or insight for someone else, I have done my job with this review post. First things to do in the process is interview/consult with a minimum of two surgeons. I would HIGHLY recommend meeting with more than two surgeons in order to find the right one because most surgeons produce poor to average looking results that end up looking unnatural and leave patients unsatisfied. I interviewed with five and it was obvious when I came across the right one (Dr. Tim Carman). Although I was able to see Dr. Carman's work first hand with the person I met, I made sure to have consults with 4 additional recommended surgeons (one of which I have seen on this site but will not mention his name). What you will notice in many surgeon's before and after photos is they tend to give everyone a similar rounded hairline that will ultimately look unnatural. Look at good hairlines on men and women that have never had a transplant and you will almost never see someone with a perfectly straight and symmetrical hairline. You should notice that almost every hairline will be organic and have some unevenness, yet so many HT surgeons make hairlines that look too perfect. When this happens, the HT will look unnatural. Throughout my process, I realized that almost ANY physician can transplant hair. In fact, any board certified doctor can legally/technically perform a HT surgery, which is probably why you'll even find random doctors like cardiologists doing HT's as side business. Transplanting hairs during the surgery is only about 10% of the job. The other 90% and most important part is the artistry itself and very few surgeons have the artistic eye to understand how and where to create hairlines and balance depth and density. This skill is what separates the few great surgeons from all the rest. As I've mentioned above, I chose Dr. Tim Carman to be my surgeon. Keep in mind I drove almost 3 hours to his office and had many closer surgeons to choose from but like I said earlier, when you find the right surgeon, you know right away and it's worth any driving distance. During my initial consult, Dr. Carman did not in any way try to "sell me" on getting a HT, which some offices did and were aggressive. Dr. Carman spent 1.5 hours with my wife and me during the consult and after I shared my hair transplant goals, he gave his recommendations as to how we could accomplish them. I never felt even the slightest bit of pressure from him or his staff. Although Dr. Carman was confident in his work and what he could do for me, he still encouraged me to consult with additional surgeons. By the end of my consult, I received a ton of great information and got a true sense that Dr. Carman understands the artistry behind placing grafts so the transplant looks natural in the end. The other thing I appreciated was Dr. Carman giving me his personal cell number. Many other HT offices are essentially brokers for a list of surgeons and I have heard it can be difficult/impossible to get a hold of your surgeon if you have pre/post-op questions or concerns. Although Dr. Carman has reassured me it's okay to call his cell if I had questions, I have always first called the office and spoken with Pam, (the clinic director). Pam is one of the friendliest people you'll ever meet and has always been able to answer my pre/post-operative questions and concerns. I think I remember hearing the technicians that assist throughout the surgery have been working with Dr. Carman for 6+ years. Their expertise is clearly evident. Overall, I hope you will at least have a consultation with Dr. Carman if you're truly interested in having an HT. You will get so much support from him, Pam, and the rest of the staff from the very first phone call you make to them. I am more than confident Dr. Carman will likely be your surgeon in the end if you do a consult with him. As for price...looking for the best bargain was not my main priority but I found the price and number of estimated grafts to be very fair and similar with most surgeons I met with. Dr. Carman is very upfront with his pricing on the website. If you’re traveling a longer distance like myself, the office will take care of the hotel arrangements for a couple nights, which is included in the price quoted at the consult. My surgeries included... 1st surgery I had 1848 grafts and was a baldness class 2 2nd surgery I had approximately 1166 grafts Some before and after photos from my first surgery can be seen on the following website if you copy and paste the link below…I don’t believe the photos do as much justice as seeing the results in person, but they should give you some idea: Dr. Timothy Carman*Hair Transplant Surgeon in*La Jolla,*California The person I originally met at a work meeting who also had Dr. Carman do his HT had 2893 grafts during 1 session and was a baldness class 3. His photos should also be able to be seen on the same site. I hope my post helps some of you out there that are interested in getting a hair transplant but are unsure about the process and how to choose your surgeon. Remember, take your time and don’t let any doctor/staff pressure you to get the surgery (this should be an immediate red flag if they are), do your research, have at least a 2-3 different physician consults and you’ll definitely know when you find the right surgeon. Dr. Carman’s office number is (858)459-8600 and the website link is: Dr. Timothy Carman Hair Restoration, La Jolla CA I highly recommend contacting Dr. Carman's office and speaking with Pam. I'm so confident you'll have a wonderful experience from start to finish with them. Thanks for reading this and best of luck with your future hair transplant!
  7. Recently, member "Jes45468" joined our community and shared a detailed account of his satisfying hair transplant experience with Coalition member Dr. Timothy Carman on his social profile. You can read all about his experience on his social profile. To view a detailed account of his experience with photos, visit his hair loss blog "Dr. Timothy Carman Review at La Jolla Hair Restoration in San Diego, CA" Congratulations Jes. You've selected an excellent hair transplant surgeon and your results show it :-). Best wishes, Bill
  8. Each year the International Society of Hair Restoration Surgery (ISHRS) holds its annual scientific meeting to discuss hair loss and advancements in medical and surgical hair restoration. This year, the ISHRS meeting was held in Kuala Lumpur, Malaysia. As always, we interviewed a number of recommended physicians in order to provide our members with their input on the meeting. These highlights have been presented on our popular Hair Loss Q&A Blog. To learn what's new in hair restoration from expert hair transplant surgeons, see "Highlights from the 2014 ISHRS (International Society of Hair Restoration Surgery) Scientific Meeting in Kuala Lumpur, Malaysia" Topics discussed include; FUE-based Body Hair Transplantation (BHT; an overview of “treading the FUE path” – or FUE pearls and pitfalls; beard hair FUE (a specific type of Body Hair Transplantation); the role of the dull punch in Follicular Unit Extraction; the challenges of performing FUE in African American patients; the latest updates on the ARTAS FUE robot and the difference between different Low Level Laser Therapy devices. Physicians directly contributing to this article are: Dr. Robert Bernstein Dr. Tejinder Bhatti Dr. Timothy Carman Dr. Jerry Cooley Dr. James Harris Dr. Sharon Keene Dr. Damkerng Pathomvanich Dr. Ron Shapiro Dr. Robert True Dr. Sanusi Umar We hope you enjoy reading about these interesting developments. All the best, Pat, Bill, Dave and Blake
  9. Allow me to be lucid. I believe yields with FUE and strip are largely dependant on the surgeon and clinic. I believe a surgeon like Lorenzo(FUE only) will generally have a better yield than a strip surgeon like Dr. Carman(my opinion). I don't believe all strip surgeons obtain a 95% yield on average and I don't believe all FUE surgeons obtain a 90% yield on average. If we compare two elite surgeons from both fields like Konior(strip) and Lorenzo(FUE) I believe their yields are very comparable in general. One case may have slightly better yield than the other but if averaged out, I personally do not see a huge discrepancy between elite surgeons of the two given methods. Now if you want to compare an elite surgeon like Konior's strip results to an average composite(FUE and strip) surgeon's FUE results, I would not be surprised if Koniors result is significantly more impressive. Doctors like Lorenzo, Bisanga and Reddy have shown that FUE can obtain a yield comparable to the results of elite strip surgeons so the actual method(FUE or strip) is not the primary factor, surgeon/clinic skill and ability is. I don't believe patients who undergo strip are lacking intelligence in their choice or in general. I think 1978Matt got an amazing result as did Spanker. Could their results have been achieved via FUE? It is very possible(given donor density and other factors) but it is very possible that they wanted to utilize strip first and leave FUE for later if their balding progressed in the future. I cannot fault them for that. I personally do favor FUE for most circumstances but do not agree with the title of the thread and/or the notion that people who elect to undergo strip are unintelligent. I personally would find that characterisation insulting as I am sure some forum members have.
  10. Second Procedure: Additional photos are one year post op following 2740 FU procedure to address crown, midscalp, and refinement of hairline and previous frontal areas. 2740 Total FU's :470 1's; 2156 2's; 114 3's. Tricophytic closure. They are the last five photos in the series. First Procedure: This is a 60 YO male with androgenic alopecia, with thinning predominantly affecting hairline, FF, posterior FF, and bilateral temples and crown. Our plan was to recreate the frontal hairline, FF, post FF, temples and some crown.. Total area was approx 15cm x 7cm = 105 cm2, plus another 40 cm2 in crown. Decision was made to concentrate on the anterior and midscalp portion, allowing finasteride to work on the crown over the ensuing year, noting any effect at that time. Goals: Recreate hairline and FF and bilateral temple recessions, post FF and anterior crown. Wait to see how finasteride affects crown, possibly place 100 or so FU grafts there at this procedure to decrease severity of appearance. Ellipse 30 cm x 1.0 cm x 110 (est) (in situ). 3099 total, 1029 1’s; 1990 2’s; 80 3’s. Tricophytic closure.Patient will have second procedure of about the same number in January to address crown.
  11. It's been just under 5 months and I'm blown away by the results thus far. Even if there was no more growth and the hairs didn't thicken up (which they will) I'd be happy. Months 2-3.5 were very tough, waiting and nit knowing is an awful feeling. Now I look in the mirror and can't believe it....I had roughly 1320 fu's put in. Dr. Carman delivers and then some.
  12. Hi everyone, I've scheduled a 2nd hair transplant and I'm about to startup on Finasteride again (long story but I stopped using, not due to side effects). Like most here on the forums I've researched the best places to get 5mg generic Finasteride and Walmart is the clear winner; $9 for a 30-day supply that once split into 4 is $2.25 per month. Proscar, even at Walmart is significantly more expensive. After speaking with the surgeon (Dr. Carman) he encourages the use of Proscar and not generic due to the risk of inconsistent results. My question is how many of you out there have been using 5mg Fin from Walmart without any issues? It's hard to evaluate whether generic is better than brand since it's so subjective and will most likely vary with the individual. Have any of you done any research on the manufacturer? My limited understanding is that to be classified generic you have to have at least 80% of the active ingredient present. I figured that if an (accurate) split from 5mg generic would equate to 1.25mg of Fin. Allowing for errors of splitting and active ingredient it's likely one would get around 1mg of Fin, the same as propecia or generic propecia. Thoughts? Thanks in advance! SD
  13. Just wanted to thank everyone on this forum for helping me make a great decision to select Dr. Carman. I'm 10 days post op and healing up very quickly. While its very early I can say that the work that he and his staff did was top notch and the treatment I received from them was fantastic. I would recommend them to anyone interested in HT.
  14. Anybody have a HT with Dr. Timohty Carman and/or Dr. Reed from California? I am 3A in shedding- and am wanting to know how satisfied some of the vets are with their work? It seems that their approach is only to do an average of 2200 graphs- compared to Dr. Wong who does average of 4500 graphs?
  15. This patient is a pleasant 39 YO male who has experienced a gradual loss of hair due to androgenic alopecia, with thinning predominantly affecting hairline, FF, posterior FF, and bilateral temples. The day of his procedure we placed a total of 3027 FU grafts within his pre-existing hair in the frontal and posterior frontal forelock, and recreated his frontal and temporal hairline utilizing 822 one hair grafts, 1820 two hair grafts, and 385 three hair grafts. His donor strip measured 29 cm x 1.0 cm, and his donor was closed using the tricophytic technique.
  16. In this hair transplant video interview, Coalition hair restoration physician Dr. Timothy Carman discusses what it takes at his clinic to get only the best hair transplant results.
  17. In this hair transplant video interview, Coalition hair restoration physician Dr. Tim Carman discusses how his clinics treats various hair loss conditions using medical treatments and surgical hair transplantation.
  18. In this hair transplant video interview, Coalition hair restoration physician Dr. Timothy Carman discusses his medical background and how he became a hair transplant surgeon.
  19. In this hair transplant video interview, Coalition hair restoration physician Dr. Timothy Carman discusses the artistry of hair transplantation and achieving only the best hair replacement results.
  20. In this hair transplant video interview, Coalition hair restoration physician Dr. Carman shares real patient testimonies and their impressive hair transplantation transformations.
  21. In this hair transplant video interview, Coalition hair restoration physician Dr. Timothy Carman discusses the satisfaction of his patients after their hair replacement results grow in.
  22. In this hair transplant video interview, Coalition hair restoration physician Dr. Timothy Carman discusses the importance of the doctor patient relationship in achieving a patient's ultimate hair restoration goals.
  23. In this hair transplant video interview, Coalition hair restoration physician Dr. Timothy Carman discusses why today's state of the art hair transplantation can achieve a natural and dense result.
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