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  1. I finally took the plunge this week and spent a long overdue 16 hour day at the Hasson and Wong clinic in beautiful Vancouver. I've been on minoxidil for over 10 years and finasteride for over seven years (on and off with both - not consistently). Switched to dutasteride about 14 months ago. I had planned a 4,000 FUT but that changed when Dr. Hasson got his first in person look at my donor area and my temple recession. We decided on FUE instead and he showed me where the sweet spot would be for my hairline. An unexpected advantage of FUE that I wasn't aware of is that the extraction technician can target single and multi hair grafts and around 3,200 FUE grafts can give the same appearance of density of 4,000 FUE because once 300 single hair grafts were taken for the hairline, the rest of the grafts could be multis. Dr. Hasson said that FUT can also be done later without compromising much in the strip from the prior FUE. I'm also one of those people who suspects that an inelastic scalp will cause more loss over time, and I'm pleased that I won't have to worry about a scar. At least not yet in my hair journey. While the hairline was higher than I had in mind, I decided to put my faith in the expert surgeon who hails from my part of the world. He's from Zimbabwe and I'm from South Africa. The two displaced African brothers spent some time discussing my options, we decided to leave my weak crown area alone this time and reassess a year from now. The team at H&W were so professional and reallly work as a TEAM. They took shifts on my head placing the grafts into the incisions, I slept for a good part of it too so the time passed quite easily. Great pain management too, it helps that it was all FUE in this department too. Very caring and careful people all around. Dealing with the saline draining down behind my face after the surgery was more hairy than I'd expected. I had to regularly massage bubbles of saline away from my eyes, managed to avoid the bruising and shut eyes that some people get talk about. The two women who did my daily washes for me four days in a row were wonderful and I'm glad I stayed in town for these extra days as they had to switch me to stronger anti biotics and give a solid clean into a minor surface infection that appeared on day 2 post op. Flying back home tomorrow with my face looking almost normal and my head very scabby but very glad I've finally done something about my hair. I'm in my early 40s and so it's over a decade of disliking how my hair looks. Now I'm looking forward to a year of watching a good portion of it look progressively better.
  2. Background: 28 years old with a NW2 type recession and very mild thinning in the crown. Family history: Mother’s side has great hair genetics (her father and brother had a full head of hair well into their late years), MPB present with my father and his late father, however, slow and gradual loss, my father is 65 and has more so thinned throughout the top rather than lost hair. I don’t have siblings, and my first cousin who I share my grandfather with from dad’s side, is 36 years old and shows no signs of thinning. * Important to note - I believe that looking at family history could be relevant to some extent, but should not be relied on. If you have experienced hair loss, 95% chance it is from MPB. It's due to genetic variations, your genetics are complex and unique, and MPB is progressive. It is wishful and naive thinking to believe you may “stabilize” one day or try to determine your final form so to say. Prevention: Propecia - Currently 1mg/ED (every day) - Started January 1, 2020 at low dosages, and worked up to 1mg a day. Experimented with 0.25mg EOD (every other day) and gradually increased the dose as I felt comfortable. - More time is necessary to judge entirely how efficacious finasteride has been for me, but I believe it is maintaining my hair. My hope and goal at the core is prevention, any added density or regrowth would be a blessing. Minoxidil - Rogaine 5% Foam 1x per night ED - Started about 1.5 years ago - Love/hate relationship, does occasionally irritate my scalp and other times its fine. The application itself is not a hassle as it takes a couple of minutes to apply, however, I'm not a fan of how it leaves my hair feeling clumped and greasy. - Hoping for the minoxidil sulfate test to come out asap to determine whether or not topical minoxidil is ultimately effective for me. (Might switch to oral) Microneedling - 1.5mm 1x a week, no topicals for 24 hours after session. - I use Dr. Pen microneedling device - Apply it all over my scalp other than my recipient area for the time being. - Takes me around 10 minutes, and I rather enjoy it oddly enough its therapeutic for me Shampoos - Nizarol 2% ketoconazole, Regenpure DR 1% Ketoconazole, Selsun Blue 2.5% (extra strength). - I alternate the use of these. I aim to use nizarol only once a week at most as it drys my scalp, Might use Regenpure once a week on a different day, and will only use Selsun Blue when my scalp feels irritated/itchy, I find this shampoo to be the best at clearing up dandruff and dermatitis. - Otherwise I use some mild organic shampoo without sulfates, that includes all the fancy ingredients like biotin, nettle, tea tree, etc etc & currently using Herbal Glo EOD. Hair Mask - - Occasionally I put on a hair mask, not for prevention towards MPB (will not do anything to address androgenetic activity), but to moisturize my dry scalp. - I use coconut oil, castor oil, pumpkin seed oil, peppermint oil, tea tree oil & I use 1 egg yolk that helps bind all the ingredients together so it's not dripping all over the place. Supplements - - Not super important in my opinion, as I have tested my blood levels for deficiencies for many years even before I realized I had hair loss. My Iron, B12, folate etc levels have always been intact. - Still I recommend anyone to test for any deficiencies as they could be hindering healthy hair growth. - I take Vitamin D, MSM, a collagen powder that contains biotin ED. - Cleaned up the diet and started exercising more consistently Considering: Oral Minoxidil - 1 - 2.5mg ED - Still searching for a doctor willing to prescribe it to me Dutasteride - Topical or Oral - 1x a week added to my finasteride regimine CB-03-01 - Topical Anti-Androgen to address remaining androgens in the scalp including testosterone & DHT Restoration - 2,401 FUE with Dr. Rahal on September 9, 2020 My search for a surgeon was narrowed down to Dr. Hasson, Dr. Bisanga & Dr. Rahal. I told myself I would be comfortable going to any of the three as each were very capable doctors for dense hairline work and had over 25+ years of specialization in the industry. Ultimately I made a decision to go with Dr. Rahal as the pandemic offered a unique opportunity for me in terms of timing to get my hair transplant. Being in lockdown meant that I would have the luxury to recover at home for at least the first 4 months, and likely further to 6 or 7 months as well. Dr. Rahal’s clinic offered a date in September that really worked for me, and being the first surgery after a long holiday period that meant 5 days of rest for him and his staff, while also being the only patient they operated on that day were big bonuses for me. Day of Procedure - The surgery went better than I could have hoped for, we started at 6:00 am and finished around 1pm, time seemed to fly by with some conversation with Dr. Rahal and his staff who were all friendly, and I felt little to no pain. Initially I was booked for 2,500 grafts, after drawing up a hairline and doing measurements, they determined they would aim closer to 2,200 grafts. They extracted 2,200 grafts and during the incision process, Dr. Rahal determined I would benefit with 200 more grafts added in for density, they flipped me over and extracted again; to total 2,401 grafts. I was returned the difference as I originally paid for 2,500. Dr. Rahal had two main techs who extracted and implanted the grafts, and I believe I counted 4 other female techs who were under microscopes sorting and analyzing the grafts. The team worked very efficiently and one of the women came over to tell me that “my grafts looked very good”, which was nice for me to hear at that moment and hopefully it wasn’t just something she was saying to make me happy. Dr. Rahal checked into the room once in between extraction and placement, and it seemed he had a lot of trust in his staff. Dr. Rahal’s demeanour is calm and soft spoken, and also gets straight to business. I spent the night at their guesthouse, and my family and I expected to find accommodation at a hotel in Ottawa the following day as I didn’t know what to expect in terms of recovery, however, to my surprise I felt nearly no pain and we left immediately after the post-op the following day (4.5 hour drive back to Toronto from Ottawa). Fun fact, their clinic in Toronto is a total 7 min drive from my home, but the date they had available in Ottawa that week worked much better so we made the trip instead, which we rather enjoyed anyway. Everything considered, I was very happy with my experience on the merits of the work and attention I felt I was getting, minimal pain & swelling, and overall the immediate recipient area looked clean and dense and the donor looked good and healed quickly. My recovery was standard, I took a high level of precaution for the first two weeks, followed their instructions to the T and the post-op rep was always available to answer my questions. Why I chose FUE - For a few reasons. Every doctor I consulted with, including Diep, Zarev, H&W (consultant), Pradeep Sethi, Bisanga and of course Rahal told me I was a great candidate for FUE. I was told my donor had a fairly high capacity that I could tap into in case there was some more recession even on medication. The extracting tech ended up telling me he suspected I could achieve approximately up to another 6k, so in total 8k grafts. The other reason is that ever since I started getting haircuts as a kid on my own, I always kept my sides very short, I’ve always faded my hair and there may not have been a time since I was like 13 that my sides were longer than a 3 or 4 guard. So it was important to me to have this option. Lastly, I felt that FUE may offer a greater exit strategy if down the road things didn’t go according to plan and the Norwood Reaper wins the battle. It might be easier to shave down having done an FUE vs FUT, however, I don’t believe it would be easy with either. Surgery Details: Total grafts: 2,401 Total hairs: 5,458 Average hair per graft: 2.27 Graft break down: Singles - 407 Twos - 1,034 Threes - 857 Fours - 103 Recipient area size: 43cm^2 Recipient graft density: 55.8cm^2 Photo Dump: Clinic Photos: Day 3: Day 10 Day 14 1 Month 2 Months Month 3 This forum helped me get through this process and I'm grateful for it & I wanted to play it forward. I'll try to update month to month, any feedback is appreciated and welcomed. Special thank you to @Melvin-Moderator & @Raphael84 who were very helpful answering the many questions I had.
  3. Good question and post. I've certainly seen a number of top clinics and doctors essentially say that they can accurately guess by microscopically examining the donor zone at a certain age/level of baldness. There was a case with H&W (I think on here) ages ago with this being debated heavily and replies from Dr. Hasson saying as much. I think for the most part, it's probably true, providing that whenever they looked at your follicles under magnification, there had been enough time for androgen activity to visibly affect them. The point is that, no one just starts balding at X age unless there is some sort of epigenetic trigger. For MPB, whatever follicles on your head are genetically programmed to be affected by it, they will begin to be chopped away at from the day you start puberty and androgens began to flood into your body. People just notice it by a certain age as it took that long for their density in said area to drop by 30 or 40 percent (due to cumulative loss from androgen activity in the follicles AR), and now at age 35, 40, or whenever, they're thinking 'oh no, I'm going bald'. With this in mind, well, you should be able to see the signs of miniaturisation being present in all of the the follicles that are genetically susceptible as long as you don't check before there's ever been enough time for it to show up visibly. i.e. if someone is destined to be a NW4 by age 70, this would be a pretty slow progression and if you checked them at 25 years old, I'm not sure if the surgeon would really have been able to tell at that point where they were headed to. Maybe the 'damage' to (or amount the follicle has shrank or miniaturised by) at that point in time was only 5, 6 or 7 percent etc. It's probably not enough to identify these areas as being susceptible even when looking through loupes or a microscopic camera, etc. This is my theory/the way I logically see it anyways. As for the age thing as Asterix says, I personally don't think it matters so much as how early you bald as much as it matters at what speed you do (although I certainly agree that people who bald young generally *correlatively* go more bald than those who notice it later on). If you end up NW3 by 25, then those follicles were clearly very sensitive to androgens as they disappeared off your head in around 10 years pretty much. However, if you at the same time have no thinning elsewhere, or your follicles in your crown/midscalp are 100x less sensitive than your temporal ones, then you're not going to end up super bald any time soon, if ever. Conversely, someone could have all their follicles genetically susceptible to MPB in a NW7 pattern, but their sensitivity and resulting speed of loss might be 10% of the other guys follicles in the NW3 pattern. Even though the first guy was noticeably balding by 25 and the other might not even look thin at all until he's in his 40's let's say, he would go NW7 in the next few decades because all of his hairs were destined to go in the end, albeit at a slower rate, whilst the NW3 guy would still be NW3 when he began balding decades earlier.
  4. Hello there folks - long time lurker in this forum. I finally decided to go in for my procedure this week. I chose Dr. Scott Alexander in Phoneix for my procedure. I had consulted with a few other doctors as well, and all of them gave me pretty much the same recommendations (except one): 1. Dr. Blake Bloxham - 2500 - 3000 FUT 2. Dr. Jae Pak - 2000 - 2500 FUT 3. Dr. Sahar Nadimi(Konior) - 2500 - 3000 FUT 4. Dr. Shaver (Bernstein) - 2500 FUT 5. Dr. Hasson - 5000 FUE 6. Dr. Alexaner 3000+FUT I also tried contacting Dr. Gabel a couple of times, but didn't get a response. I decided to go in with Dr. Alexander because of his excellent results that look extremely natural. Also, he was closer to me than the others (I live in NorCal) I am not going to bore you all with the details of my history - but just a quick background - Norwood 5A, Age 28 and been on Fin for past 1.5 years. I initially had a FaceTime consult with Dr. Alexander where he examined my hair and answered any questions I had. He recommended a 3000+ FUT as a first procedure to address the hairline and frontal scalp. And another 3000+ FUT after a year for the crown area. I booked a procedure date with him for Sept 10th. Since he had not physically seen me before, I was asked to come in the day before my procedure. He examined my donor and drew the hairline he thought would look good. I liked the design. I was out in about 20 minutes. The next day I was asked to be in the clinic at 7.30 AM. I was kinda nervous in the beginning. I had to sign some paperwork and they offered me a Xanax (which I refused). I then went in to meet Dr. Alexander. He started by drawing the hairline again. A few changes and we were ready to start. I was numbed at the back and he started to cut out the strip. This took about an hour. I was told I have thick skin. LOL (turns out my Mom was right all these years) Dr. Alexander then started stitching me up. He uses two layers of stitches. This procedure took about 1.5 hours. In the meantime, his techs started dissecting the strip in the next room. I was also asked for my choice of lunch. Next, I was numbed up in the front. Dr. then started making the incisions into which he would place the grafts. He told me he wanted to concentrate and not to talk to him. I selected a movie, and let him do his work. This took about 2-3 hours. I then had a quick lunch and went back into the procedure room. The techs then started placin the grafts into my head. Dr. Alexander only came in to numb me up when needed. The techs took turns working on me (about 4 of them in total, 2 of them planting hairs at one time). This took about 3.5 hours. I finally finished around 5.40 PM. A couple of tips for others looking to have a HT soon: 1. Eat well the morning of your procedure. I usually do not eat breakfast. But since this was a big day, I had a light breakfast (I couldnt eat well because I'm not used to it and I was nervous). Even though you are sitting the whole day, you get exhausted. Also its good to eat well as you will be medicated. So make sure you have a good breakfast. 2. A neck pillow is a lifesaver for the first few nights after the procedure. It prevents your implanted area from rubbing against the bed/pillow and gives you good neck support. Below are pre-op photos: Hairline design: After Incisions before graft implants (during lunch): Immediately post Op: Day 1 Post OP after rinsing the area: Donor area (not the best pic): Day 2 post Op: That's all for now. Will keep this thread updated as often as possible.
  5. Background: Date of Procedure: 9-18-2020 Procedure: FUT Grafts: 2,500 Doctor: Dr. Arocha, Houston, Texas Age: 35 Current Preventative Measures: Propecia, Minoxidil, Laser Cap, and Micro Needling First, I want to say that my goal here is not to bash the doctor. He has been receptive to my concerns and presented some possible solutions. My hope here is to tap into the community for guidance. Issue: Unfortunately, the procedure left me with a very wide FUT scar. The scar is largest above the ears, but it is fairly prominent throughout. Prior to surgery, the doctor notified me that scars can be unpredictable, but I was also told that a reasonable expectation is to be able to be able to cut your hair with a guard 3 without the scar showing. Currently, if I cut my hair with anything less than a guard 7, the scar is very visible. Even with longer hair, multiple people have commented on seeing the scar when my hair falls to the side, and this has been a source of frustration and embarrassment. Objective: Repair the scar to the extent possible, while also leaving open the door for future procedures. I am planning on getting another procedure (FUT or FUE to further fill in the frontal hairline, temples, and crown). Combining both the scar correction and this second procedure is ideal. The next procedure will likely be 2,000 to 2,500 grafts. Conversation with the Doctor & Proposed Solutions: The doctor suggested that my wide scar may be due to the high elasticity of my skin. He also suggested that merely sleeping wrong can result in a widened scar. Further, he pointed out that, though I do not have keloids (thankfully) the scar is slightly thickened. The doctor proposed the following solutions: FUE Procedure to fill in the scar area, which would require about 300 grafts. Another FUT procedure in hopes of cutting out the scar and using additional staples to help minimize stretching. Combination of an FUT and FUE. The FUT would be near my neck, which has the least amount of stretching and the FUT would be used to fill in the point most prone to stretching, which is above the ear. Option 1: FUE Procedure My concern here is the loss of grafts for future procedures, as well as the fact that so many grafts will be spent just to conceal the scar (300+). I will likely need a third procedure as my hair continues to thin, and so I would like to maximize my available donor area to the extent possible. Option 2: FUT If the procedure successfully cuts out the scar and can result in a smaller linier scar, then that would be ideal (especially considering that 80 grafts would be enough to conceal a small scar). The doctor suggested a special tempur pedic pillow that may help reduce head movement (and thus the chance of scar stretching). The issue is that I have evidence that my skin stretches, and I am also fearful of a keloid (though I do not have a history of this). In regard to my prior FUT, I was studying for a major exam for a few months after the surgery. My head was tilted downward while reading, which may have contributed to the scar? This is just a thought regarding one factor that won't come into play on my second procedure. Option 3: FUT/FUE Here, the number of grafts in the wide areas around the ears would be around 100, while the remainder of the scar (near the neck area) would just be excised and more closely monitored. I am open to this option, but the optimist in me wants me to go with the second option (a complete FUT with scar revision) in hopes of attempting to excise the scar and remain extra vigilant. What do you think? Your thoughts are appreciated. In your experience, how bad is the scar? Was there something that I or the doctor could have done to avoid this issue? Is there an option that I am missing? Should I consider another doctor for the procedure? Note: I live in Houston, which makes Dr. Arocha especially appealing (particularly in regard to follow-up visits). I have heard fantastic things about Hasson & Wong, but the distance is a concern. This has been a source of stress, and any guidance the community can offer is really appreciated. Thank you, everyone.
  6. Hi All, **This is a cross-post with Hairlosstalk.com, I'm not familiar with either forum so I wasn't sure where would be best to put it** Finally took the plunge about 2 weeks ago after lots of research and a 6 month Covid delay. I had a trouble finding similar cases to mine, so I thought it would be helpful for folks in the future if I made a timeline. This way I can also force myself to keep better track as well. I'll follow this post up with a couple of others, giving a rough timeline and my thoughts on the process at each stage.- Previous Hairline: My family has a history of prominent foreheads with high temporal recessions. I had roughly the same hairline from the age of 18 onwards, with only a minor amount of backwards drift until the age of 23; am currently 32. My hair is very fine and very straight, more blonde on top, progressing to a sandy brown on the sides.- Consultation: I met with Dr. Hasson and Chis at the Hasson & Wong office towards the end of January 2020. We discussed my goals of advancing my hairline and filling in my temporal recessions. Dr. Hasson mentioned I had some thinning in the front and crown. Looking back at photos shows this had started roughly two years prior. He recommended I start taking finasteride to halt and reverse this, which I did roughly 3 weeks after our meeting. Both of them recommended 4000 FUE would be necessary to achieve my goals, and that would be split into two 2000 graft session back to back. I ended up booking for March 2020, however 1 week ahead of my surgery date Covid hit and I had to reschedule. It would have been perfect to ride out the ugly duckling phase in quarantine, but c'est la vie.- Surgery Day 1: I arrived at 7 AM and was introduced to the surgery team, I can't remember anyone's names but they were all friendly and accommodating. We did the whole photo shoot thing, and then Dr. Hasson came in and we started discussing the new hairline. He mentioned that while my crown had recovered the frontal zone had not and he also noticed some thinning in my temple points. At that time he told me we could stick with the original plan of 4000, but I would most likely be back for a second pass and if I wanted it done in one go I should increase slightly to 5000. I liked the 5000 hairline much better and agreed that I'd like it done in one go, rather than a follow up down the road. Looking back that was a wise choice as I was in for a ride, and am quite glad I am unlikely to need another surgery in my lifetime, or so I've been told. I want to preface by saying this was no fault of the surgical team or clinic, it simply came down to my own biology.Day 1 was to be spent on the front hairline and day two would be working on the temporal recessions and temple points. They took the first 2500 from my left side, I was given a zopiclone as I would be there for a while, and there was only minor pain from the anaesthetic injections. The extractions were performed by a technician, the doctor returned to make the incisions, and lastly the grafts were installed by a rotating team of technicians, lovely ladies all. In general day 1 was a fairly easy, I was there for about 12 hours, was fed twice and had a pretty chill day.Surgery day 2 - Day two started largely the same as day one, with a zopiclone and then the right side extractions; I believe I slept through most of this stage. The zopiclone started to wear off roughly halfway through the incision stage, and that was when the road got a little rougher.I have had problems with general anaesthetic in the past, and usually require extra injections to be completely numb. I also tend to metabolize the anaesthetic quickly and require frequent top ups. Towards the end of the implantation stage I was requiring injections on a steady basis, roughly every 10-15 minutes. For the last 2 hours or so my body was metabolizing the anaesthetic so quickly as to render it nearly ineffective. The team did all they could to accommodate, but at one point we had to take a break because I was shaking so badly that I was making their job difficult, and they were concerned I would pass out.Over all day 2 was a slog. I've heard no pain, no gain, but it wasn't a lot of fun. Maybe I have a low pain tolerance, who knows...I returned for 2 consecutive days to have them wash and inspect the sites.- General Thoughts:- Dr Hasson's bedside manner is excellent. He noticed immediately how nervous I was on the morning of day 1 and was calming and reassuring. He was obviously quite busy, but took his time and made himself available to answer my questions- The office has a fairly laid back vibe, everyone is very friendly and were a pleasure to be around- I was surprised at how little direct involvement Dr. Hasson had with the process, he popped in and out throughout the day. However, the results speak for themselves as you'll see in the follow posts- The team actually ended up extracting an extra 200 grafts, but as Dr. Hasson only made 5000 incisions these additional grafts were cut into singles and added into existing groups. I was not charged for this, and can assume it was because of a low transection rate? - The number of grafts sounded high to me, but I trusted the Doctor's recommendation and the density looks as though it directly matches that of my native hair. - Graft Breakdown: Day 1 : 2512 FUE extracted . 300 single hair grafts – 1714 2 hair grafts and 498 3 to 4 hair bundle grafts. Total number of hairs 5222. Day 2 : 2650 FUE extracted . 150 single hair grafts – 1867 2 hair grafts and 624 3 to 4 hair bundle grafts. Total number of hairs 5774. Combined number of grafts 5162. Combined number of hairs 10,996.
  7. I recently did a 2 day 4,000 graft FUE with Dr. Hasson will try to update as time goes Pre op pics:
  8. Not necessarily. Dr. Bisanga did recently say that if your transplant remains good for 10 years you should be happy. @BJ47 Was your first procedure FUT or FUE? Depending on your laxity you might be able to have another strip megasession (2-4k grafts). The more grafts you can harvest the more likely you can address both the frontal third and crown with your next procedure. I would take a serious look at Hasson & Wong for round 2.
  9. Had my hair transplant 3 weeks ago now but I thought I'd create a thread for my progress. I ended up getting 3300 for the front and and 1729 for the crown. I haven't been keeping close tabs as I don't really use social media too much but I'll update this thread as I go along...
  10. Hello to Everyone Let me Introduce my self my name is Remy Herda, I have been involve in Hair transplant for a while I have started Back in UK working Under Ziering Medical : learn developed and train other Technician's. Worked with many Talented and well know Doctors and Team members over those years. Then my wife and I moved to Canada Vancouver BC where I started work for Hasson & Wong and helping Dr Wong Team. Then I moved to try something completely different in my life. But guess what Ladies and Gentlemen's Hair loss ewentualny catch up with me to.What I love about this type of work its the getting a satisfaction when you see patient coming First In and returning after a year completely change and happy different. It is special and unique where i know deep in me I was a part of the Team that change some one Life ! I never was worry at the begging of my own hair loss so much anyway Plus I knew im working in the industry as a comfort. My Lose its minimal, I would not compare my self to anyone else as everyone had different situation and there own story. In my Family Out of my Dad side my dad has full head of hairs both his brothers and his father are norwood VII. And my mum side her dad had high hairline and temple peaks, I'am 35 years old Now : I was waiting to see how my hair loss progress over the years ( as my young 20s I had no problems )main accelerating factor that speed up this proces was abuse of Hormones while I was doing some Bodybuilding competition back in those years. I have started Finasteride only when I was 30 years old I have contacted Dr Wong and Scheduled Surgery for 26.03.2021 Last Friday I chose FUE as I like keep changing my hairstyle and keep me side very short. Knowing exactly what is waiting for me It was very excited and ready. Now to be able see what the Patient is going trough while on surgery and after, its is Fascinating that teach me even more and gave me a better knowledge and understanding - ( well its till ongoing so hold on I'am only on Day 4 of my recovery I will keep Posting more as I have my daily update on my new Instagram account. (I want to educate and share my experience with others) So if you have any questions please ask im happy to help. There is a bit of technical details : Walked in 6am - out by 5pm Type FUE 2004G 1s-151 2s- 1195 3's- 658 Punch size 0.85mm Pic Before the Party: The last 4 Pictures Are Next day Hair wash this is only few pictures I got saved on my phone.
  11. The plan discussed with Dr. Hasson was to wait a year from the surgery to see whether meds have helped the crown or not. Also to see whether the frontal third grew in successfully. I'm not sure if I'll book a surgery right after for my mid third and crown or not. I am considering SMP for those areas. I'd like to bring the hairline corners down a little and add to my right temple point to frame the face better. If I do book for that front area work I may just do the mid scalp and vertex too. Haven't made any firm decision yet
  12. Hi, been reading posts here for a while before deciding to go ahead with a hair transplant so would like to post my progress as it helped me to go ahead with it. Initially was quoted 4000 grafts FUT with an online consultant for my hairline and crown area but when I arrived for the procedure and Dr.Hasson examined my head he suggested to focus only on the hairline because in the crown I didn't have any empy bald spots only miniaturized hairs and said it would be a mistake to transplant there right now. Instead a better option would be to keep taking finasteride (started taking 4 months before surgery and 0 side effects) as he believes it will thicken up most of the miniaturized hairs in my crown. He also suggested I do 3000 FUE instead as the healing is better with no linear scar plus he said my donor area is very good with over 100 hairs per cm2. From what I remember he said I have about 5000 grafts left for future procedures if I need any. Transplant hair graft count: 1 : 300 2: 2277 3:468
  13. Patient in his early 30’s from Calgary choose Hasson and Wong after doing extensive research. His decision was also influenced by a friend that recommended he see Dr. Hasson. Starting to lose his hair at the age of 18, it was roughly 15 years later when he decided to do something about it. The plan was for Dr. Hasson and team to rebuild the hairline and frontal zone working back into the mid-scalp as necessary. 4228 grafts via FUE were harvested. Day 1 consisted of 200 single hair grafts, 1972 doubles and 28 triples for a total of 2200 grafts. On Day 2, 2028 doubles were extracted. Due to limited options on the busy schedule, day 1 was separated from day 2 by 6 days instead of the customary back to back day approach. You can see in the placement photos there was a fair amount of crusting left over from the previous day 1 session 6 days prior. For the extraction sites as seen in the photo, left side harvest on day 1, right side on day 2. These result photos were sent in by the patient about 1 year post-op. Some comments he also added with the photos: “It was around 6 months it really started to thicken up. I got a haircut a couple days ago, so the sides are pretty short. There is no visible scaring in the donor area and you can’t tell there are have been any hairs extracted. Overall I would say that I am super happy with the results (was a great last minute decision to go with FUE vs. the originally planned FUT too).”
  14. Hi John - I am looking at Hasson and Wong, Eugenix, and Dr. Rahal.
  15. Hello Mdc2021, Portugal25 gave you table of really good doctors with very important informations about them. Before my repair HT I spoke with almost all these clinics and doctors (except Dr. Demirsoy, Dr. Bicem, Dr. Maras, Dr. Nedimi and Feller&Bloxham). For me first league are Dr. Couto, Dr. De Freitas, Dr. Lorenzo, Dr. Konior, Dr. Feriduni, Dr. Bisanga, Hasson&Wong and HLC. Best newcomers are Dr. Ferreira and Dra. Vila. It depends how much money do you want to spend and how far do you want to travel. But remember. You (and everyone) have limited donor area. More important than money are grafts. Also estimated number of grafts in your case (3000+) are too many. Rather choose more expensive doctor who needs less number of grafts to achieve optimal result than cheaper who needs more grafts. If I went to the first operation and considered the money, I would choose Dr. De Freitas in Valencia (also Barcelona), Spain. I suppose you have good flight connection from Denmark to Spain. 3,50 eur for first 1000 grafts, 2,50 eur for every next graft, hotel included. If you want to the best, then Dr. Couto. But he doesn´t take new patients now. And if you consider Asmed, please check my story:
  16. Age 26, Norwood ~3V + retrograde + diffuse thinning (including donor) Medication: dutasteride 0.5mg/day, foam minoxidil 1-2mL/night Hair characteristics: high contrast with skin, fine, straight Cost: 2.15 euros/graft which is a discount from 2.25 euros/graft because I agreed to provide them anonymized photo updates for their own use. Posting this thread is my own choice. Though, I wish clinics would offer discounts for patients to post threads from start to finish. I see nothing wrong with that. Also, I think the price has gone up recently. Hair loss timeline: 18 - Looking back at old pictures, I had signs of thinning at the hairline 20 - Barber mentioned uneven nape, now I know it was the beginning of retrograde. Started noticing loss at the hairline/crown, found out about finasteride and tried to get on it but my awful dermatologist wouldn't prescribe it to me saying my loss wasn't bad enough 22 - Went back to the dermatologist, still wouldn't prescribe finasteride to me (I think because of side effects? don't remember). He instead prescribed topical minoxidil (requires a prescription in Canada) but he didn't make it sound like it was worth it (annoying to apply, need to use it for life), so I never went through with it 24 - Hair was looking awful, finally decided to do something about it - did my own research, went to a different doctor who was not a moron, and got a 5mg finasteride prescription. Quartered that for 6 months. Also started 1mL liquid minoxidil at the same time 25 - Didn't notice any changes after 6 months, seemed to have maintained. Switched from finasteride to dutasteride to keep as much hair as possible. Got a microscope and analyzed my donor, saw greater than average thinning 26 - Seem to have continued to maintain. Switched to foam minoxidil because liquid takes forever to dry Moral of the story - Many doctors are crap. Take medical matters into your own hands and leave nothing to chance. I carried those learnings over to my HT research. Choice of surgeon: I sent the following clinics (in no particular order) pictures/videos of my hair/recipient/donor. The main point of contention between their opinions was regarding the microscopic videos/images of my donor. Hasson - "Dr. Hasson felt there was more miniaturization than the typical 10-15% and therefore a procedure would involve a bit more risk." Wong - "Dr. Wong on the other hand did not believe there was any signs of dupa and would have no reservations performing a procedure." Bhatti - He was concerned, felt that my donor density was quite low and wanted me to get evaluated in person Bloxham - Wasn't concerned, was more interested in if I noticed any changes in my hair, and said a proper in person examination would be in order Konior - Not concerned, said my donor area was about average Bisanga - More miniaturization in the donor than they would like to see for someone my age, and suggested an in-person consultation Ferreira - Said my donor isn't great, but that I'm far from DUPA, and that my prognosis is good Lorenzo - Said I didn't have DUPA but didn't go into any more details. I feel like they may not have seen the microscopic videos. Wish they would have at least acknowledged my weak donor. Tried following up multiple times to get clarity, but they never responded Diep - saw him in person since I was nearby, he said I had 10k+ grafts available in my donor. 'nuff said. Rassman/Bernstein - said I have more thinning than average but not yet DUPA, suggested I wait a few years, but said I could get a small HT Hattingen - said they would not operate on me, suggested I send them yearly updates of my hair loss situation to see if their opinion changes HLC - didn't want to say anything regarding my microscopic videos, said I would need an in-person dermascopy evaluation, but didn't seem too concerned Pekiner - noted the miniaturization but said my donor was good enough and that they select the highest quality grafts At some point, I decided I was mostly interested in clinics where the surgeon does most, if not all the work. I understand the benefit of technicians doing parts of the procedure like extracting/implanting grafts, but I just feel more comfortable knowing that the surgeon is doing all the important aspects of the procedure themselves, and that I can hold them fully accountable. This left me with a few options at the time: Konior, Ferreira, HLC, Pekiner. Ferreira - I couldn't travel to Portugal because of COVID and wanted to see more results Konior - I think he is one of the best, but I was disappointed that he didn't acknowledge the miniaturization in my donor. My guess is he did notice it but that he's confident in his skills/work and doesn't want his patients to overthink things. I'll likely still see him in the future for temple point work or if I need any touch up on the hairline HLC - Didn't like not knowing which doctor would work on you, and the fact that you could have multiple throughout your procedure. Also have seen some cases where I felt the graft count was a bit aggressive for the patient's age. Have heard communication is also an issue Pekiner - I liked the technique, the small number of grafts per day (~1000), the fact that he is conservative and honest with his patients. Liked that he had a lot of patient reviews from start to finish (mostly on the Italian forum). Very experienced with hairline work and liked his hairlines and density (especially needed with my fine hair). Communication with his rep Alex has been very good. Aborting was a concern, but they told me that they now inform the patient of any findings but ultimately let them decide whether to proceed. Given he would select the highest quality grafts available, I was not too concerned. Also knowing that the graft count could be adjusted on the day of procedure (say down to 1500), my mind was more or less at ease. In the end, he said my donor was slightly better than expected. Procedure: Each day lasted from around 8am-5pm. On the first day of procedure, I had a discussion with Dr. Pekiner about my hair loss history and goals. We then took the photos, designed the hairline, and shaved the head. Then we moved on to the actual extraction/implantation. The way it works with Dr. Pekiner, similar to HLC, is you have two sessions of extraction/15min break/implantation per day, AM and then PM. In between these sessions, they have a chef who provides a meal for you (bonus points for catering to a vegan diet - the food was delicious). At the end of each day, they wrap your head in a bandage to protect the grafts/donor. On the third morning, they give you a final clean up and provide you with the aftercare kit including saline spray for the recipient and bepanthol lotion for the donor. 1 hair: 249 2 hairs: 682 3 hairs: 710 4 hairs: 164 Average hairs/graft: 2.43 Recovery: Sleeping - I'm normally a side sleeper, and started practicing to sleep on my back a couple months in advance. I don't think this is necessary, I just wanted to learn to sleep on my back anyway. Regardless, you'll need a travel/neck pillow anyway to make sure you don't turn in your sleep, and I think you'll be tired enough to fall asleep on your back even if you're not used to it. Another recommendation I have is to zip your arms inside a sweater, so you don't damage your grafts in your sleep. I've seen this happen enough times on these forums, even over the past few months, that I didn't want to take any risks. At one point I was very tired and fell asleep without zipping up my arms, and I actually caught myself lightly reaching up and tapping my recipient area as I was waking up. Nothing bad happened, but I was much more cautious the next times I went to bed and ensured that I zipped up my arms each time. Swelling - I noticed swelling mostly on days 3-4, but nothing too bad compared to what I saw online. I just let it pass with time. Pain - No pain for the first week really. From days ~6-10 I had some donor pain when I'd lay down on my pillow, so I'd just take paracetamol 20 mins before going to bed. Crusts/scabs - was instructed to start gentle massaging them starting day 6, increasing intensity with each day. By day 9, pretty much all of them were gone. Redness - I started using aloe vera as I've read that it helps. Haven't noticed too much improvement yet by day 30. The donor is still red but it's harder to see as the hair is growing longer. The recipient is still red, and the shedding is making that more visible. Feel free to ask any questions. I can add some recent photos soon. I'll probably update monthly.
  17. 10 months updates I got a buzz cut last month so didn't update, regarding the small patch it has filled in and hoping it stays that way lol. Added a pic from a different angle which shows the weaker area and a pic of the crown which I booked a 2nd surgery with Dr.Hasson to address the crown on march 2022, he recommends 2000 grafts for my crown area not sure about the mid scalp was told its just for the crown area and under the impression he thinks the mid scalp is fine as it is and no need to address it at this point.
  18. To be clear, if I'd insisted on FUT on the day of my surgery that's what we'd have done given that was the plan before I arrived. Dr. Hasson gave me his recommendation for and I made the final decision.
  19. Thanks for the comment guys! Dr. Hasson determined this patient’s final hair loss pattern is a stage 3A. In this case his safe donor zone would be much larger than say a stage 5-7. Therefore we can be more aggressive with the area to harvest. There is a relationship between hairline placement and temple location. The farther advanced the temples and points, the lower the hairline can be. They must balance with one another. If we want to significantly lower the hairline and its safe, the temples need to be advanced to match the hairline. In some cases a complete temple reconstruction is not recommended, in others it is. In this case temple advancement/reconstruction was not necessary or advised. The patient will usually be presented with several hairline placement options. He may have always had a higher hairline and felt more comfortable with a more conservative hairline design and location. Dr. Hasson may have been able to go a little lower here if desired but too much and the hairline would start to look top heavy without advancing the temples. In most patients, one side does have more recession than the other. I’m not seeing a much of a difference in the temple point location here. Some reasons to switch to FUE from FUT can include finding that the scalp is tight and harvesting the desired number of grafts via FUT could be a challenge. While we have transitioned from an exclusively FUT clinic to performing more FUE than FUT, we have implemented some practices that have greatly reduced the chance we may consider a switch at the time of the patient’s visit. While I agree we want to minimize any surprises once the patient has arrived, I would not characterize this as “unprofessional”. On the contrary if the switch is ultimately in the patient’s best interest. Let me repost some of the patients comments in case you guys missed it: “I got a haircut a couple days ago, so the sides are pretty short. There is no visible scaring in the donor area and you can’t tell there are have been any hairs extracted. Overall I would say that I am super happy with the results (was a great last minute decision to go with FUE vs. the originally planned FUT too).” I thought his comments may have been of some interest but I didn’t think it would get this reaction…..so much for the transparency and providing the additional info 😊
  20. I had the same experience with Dr. Hasson. The clinic rep in Toronto that I spoke to suggested FUT would be the best long term plan. A lot of members here concurred. Dr. Hasson looked at my donor area and said FUE would be best because he could pick out the multi haired grafts, avoid the scar and that the transection rate is so low that there's not much donor area savings vs. FUT nowadays. By selecting the grafts with FUE, the 3,400 grafts would give the same appearance as a 4,000 graft FUT.
  21. Hey All, After rescheduling three different times due to the Canadian border closing over COVID, more than a year after scheduling, I'm finally preparing to get 4,000 FUE grafts from Dr. Wong of Hasson & Wong the second week in October. This forum has been a huge help in deciding to get a HT and which doctor to go with. I had several consultations including Dr. Nadimi who is often mentioned as one of the better doctors for hairline work, but ultimately decided on Dr. Wong who said he can do 4,000 grafts over two days. I am really excited and cannot wait to see the results. I'm 39, started using monoxidil daily around age 30 and taking 1mg/daily finasteride at about age 32. I probably started these a little later than I should have in retrospect. After my consult with Dr. Wong in September of 2020, he suggested I move to brand name Proscar 1mg/day instead of finasteride which I've switched to since then. (he said he sees better results than generics.) I also did 4 sessions of PRP in 2018 but not sure if it really did anything. My hair loss wasn't very noticeable through most of my 20's until I think some stressful life events in my early 30's started to really accelerate the process. My dad has been NW7 since his early 20s whereas my mom's father died with a full head of thick white hair at 81. I've definitely spent a lot of time reading the threads on this forum and really appreciate all the support and commentary that the community provides. I'll be documenting and sharing my experience and progress on here after the surgery, but wanted to post here before going in to see if there was any thoughts or advice anyone has to share. Here are a few photos taken in different lighting and with different length haircuts over the past months so you can get an idea of what I'm working with. Thanks guys.
  22. Yeah and I'd say he went and got it done during COVID sometime...........in the video below it actually looks like a transplant that hasnt fully 'softened' completely yet.... he could be only 12 months out from the procedure....it seem slightly unruly/wiry which he's kind of running with by spiking it up..... Temple points have been brought forward & strengthened (& look great) + his hairline has been lowered by maybe only half an inch all around but beefed up with density & reinforced vs. the receding/slightly thining look he had before........my guess ultra dense packing 3000 FUE.........done by Dr.Hasson or one of the European doctors...Dr.Couto probably......the fact this is one and done procedure by the looks of it means a dense pack master at work
  23. Yeah, your donor and hair characteristics are really good from what I can see. Crown is on its way out though. To be completely honest, I don't think it will have much if any hair left in it by the time you reach your mid 30's. Unless you take meds that is, then you will potentially be able to re-grow it back to a normal thickness and keep it that way for decades. You really should consider it. Read the actual studies, sides are rare, but do exist and go away upon discontinuation according to every placebo controlled study ever carried out on the drug, and according to all medical literature published on the subject. There's really no reason to be scared to at least give it a go in reality. Dr. Lorenzo's website has some good concise information on scientific data relating to finasteride side effects, good place to start and then broaden your understanding by studying other credible sources of info and reading the actual studies in depth - just find the finasteride section here: https://injertocapilar.com/faqs/?lang=en Good attitude budget wise. I'll put it this way, Europe and North America are the two hubs of quality hair transplantation. Both have a small number of doctors who are all very good and offer similar levels of skill and quality, but in general European Dr's are going to be around half the price for the same level of skill. So, whilst it's perfectly reasonable to stay in the U.S., you can get the same level of results for half the cost in Europe. My favourite European Dr's: Dr. Bisanga, Dr. Feriduni, Dr. Lupanzula, Dr. Bruno Pinto, Dr. Rafael De Freitas, Dr. Ximena Vila, Dr. Juan Couto and Dr. Bruno Ferreira. U.S./Canada: Dr. Konior, Hasson and Wong, Dr. Cooley, Dr. Shapiro, Dr. Rahal, True and Dorin (there are more but I'm in the UK so I don't keep too much track of them, others will be of more help for additional options). Do some research and take a look into them.
  24. Hi all, I am a 25 year old norwood 5 diffuse thinner. I've been loosing hair for the past 10 years. Though my hairline has been relatively same for the past 10 years, I've lost a lot on the top. I consulted with Dr.Hasson about a month ago. He suggested to increase the density by 3000 grafts and leave the hairline untouched. I had below average laxity. On shaving the donor area, Dr.Hasson found that the density of grafts in a particular region was way higher than the rest. The doctor thought that the particular region was average density while the rest were below average. But it turned out that the region had above average density while the rest had average density. Thus 4424 grafts were harvested while targeting 3000 grafts. Here is my grafts breakdown: 1559 single hair grafts 2608 double 257 3-4 hair grafts I've attached the preop and graft placement pics... Please share your thoughts
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