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  1. Had a great conversation with Dr. Ron Shapiro, i didnt have an appt. but the Doc made time for me and he was pretty busy, he made sure EVERYTHING was ok with me, we discussed all of my concerns and why i went to Dr. Hasson for my 2nd procedure, in my opinion it was all just a misunderstanding and Dr. Shapiro is a real "GEM" of a person, he looked at Dr. Hassons work and said it was fantastic, he explained to me in detail about my particular case and why he took the approach he did, after seeing my before photos and where i started---WOW, the amazing thing is im only 10.5 months from my first session and i have 5820 graphs from Dr. Ron Shapiro and Dr. Hasson--WOOOOOOOOOOOOOOOOO, im feeling very fortunate about that, There is no bad vibes between these two clinics both Docs speak highly of the other one. I gave Doc Shapiro the following feedback and he agreed, if i would have had my before photos to compare his procedure i could have seen a way better picture of things and where i was at, Dr. Hassons office gave me a disc of my pics before i went home, i told Dr. Shapiro they could use more of an internet presence like a "Jotronic" (respectfully) to represent his work online and present some larger cases, Doc agreed but said its a fine line to walk on the internet and not get involved in the B.S. that takes place sometime. Overall i feel really good about everything and i believe everything happens for a reason wich led me to start with the Great Dr. Shapiro and then led me to the great Dr. Hasson. Im waiting for Dr. Shapiro to E-mail me my photos of where it began, then you can form your own opinions Sincerely, Mudpuppy
  2. PerfectFew, Welcome to our community. I'm glad to hear it has been useful for you. I have visited Seattle on at least two occasions in the hope of finding a clinic in Seattle worth recommending on this community. In my opinion there are none. I strongly suggest you do yourself a big favor and consult with Hasson and Wong before making any commitments. Their consultant in Seattle, Mike Ferko, will provide you with a wealth of educational information and plenty of patients to meet with in person. Their surgeries are performed in Vancouver, Canada and their results are outstandinng. For contact info, click here. I suggest you search this forum and or other hair loss forums to learn more about both Dr. Hasson and Dr. Wong and any other physician you may be considering. On this forum click on "Find" and enter the physician's last name. I think you will be very glad you did your home work and kept looking to find a real gem in the rough. Best wishes for a great hair tranplant.
  3. Thanks to everyone for their excellent and thoughtful input regarding this truly cutting edge topic. I'd like to add a little historical perspective to this discussion. The story of hair transplantation over the past ten years has been the evolution toward much larger numbers of smaller grafts. The benefits for patients have been excellent ??“ faster healing, greater coverage and density and undetectable naturalness even after only one session. But while the newest follicular unit techniques were almost universally embraced by educated patients - not all physicians embraced these changes. Performing large sessions of microscopically prepared grafts, while easier on the patient, was harder on the clinic. Some physicians resisted and made arguments against the follicular unit grafting that was emerging as the new "Gold Standard" in hair transplantation. Their two chief arguments were ??“ 1) That mega sessions of 1,200 to 1,500 follicular unit grafts were too large and would over tax the scalp's vascular system and thus not all grafts would grow. 2) That the smaller and more refined 1, 2, 3 and 4 hair follicular unit grafts would not be able to create the appearance of density. Today, with the evidence of thousands of cases of follicular unit mega sessions, such arguments appear almost reactionary. Perhaps early on such skepticism was merited. But once the overwhelming evidence in favor of follicular unit mega sessions was evident those who clung to such arguments lacked credibility. To debunk these two chief arguments against follicular unit grafting Dr. Rassman in the mid 1990's brought over twenty of his mega session patients to one of the annual International Society of Hair Restoration Surgery (ISHRS) meetings. Many found the impressive results to be clear evidence that large sessions could yield both impressive growth and density. To the skeptics Dr. Rassman said that "Those who don't believe it can be done should not stand in the way of those doing it everyday". Now ten years later the follicular unit procedure has evolved to an ultra refined level and yesterday's 1,200 to 1,500 graft mega session is today's minimum size session. Once again the evidence is in and during the 2004 ISHRS meeting in Vancouver the overwhelming evidence filled a huge room ??“ compliments of Hasson and Wong and their patients. Dr. Hasson and Dr. Wong could have borrowed Dr. Rassman's words in saying - "Those who don't believe it can be done should not stand in the way of those doing it everyday". But skepticism remains. Today some skeptics argue in favor of not moving beyond the standard follicular unit procedure that they argued against embracing years ago. Today some skeptics are concerned that the large size of the sessions (many now in excess of 4,000 follicular unit grafts) are too large and will over tax the scalp's vascular system and thus a smaller percentage of grafts will grow. However, given the much smaller blades and minimal depth incisions now used in these giant sessions proponents can argue that the overall trauma to the scalp's vascular structure is no greater than the smaller sessions using larger blades and more invasive incisions. While some argue that giant sessions may mask potentially lower rates of growth, the impressive end results produced by Hasson and Wong and others physicians performing dense packing over the years lead me to believe that their ultra refined techniques enable patients to achieve excellent growth rates ??“ even with huge sessions. A second concern is that the amount of donor tissue removed in one session to yield such high graft counts may increase the risk of donor scarring to an unacceptable level. I think this issue will be actively debated by patients and physicians over this coming year and beyond. Ultimately the results will provide the evidence needed to resolve this issue. In my opinion, the debate about what is optimal is not between standard follicular unit grafting and ultra refined follicular unit grafting in excess of 4,000 grafts. The real debate is how large should an ultra refined follicular unit session be ??“ 3,000 grafts? 4,000 grafts?, 5,000 grafts? or even 6,000 grafts? Much like they embraced standard follicular unit grafting in the nineties, patients have now enthusiastically embraced Ultra Refined Follicular Unit Hair Transplantation and the clinics that are performing. For the patient the choice between standard follicular unit grafting and ultra refined follicular unit grafting is the proverbial "no brainer". I find it very encouraging that many leading physicians have also embraced recent evolutions in follicular unit grafting and now are using ultra refined techniques that enable them to provide patients with high density "one pass" sessions when appropriate. Many of these surgeons have also expanded their capability so that they can do much larger sessions when it is appropriate for the patient. Thus a patient who is an excellent candidate for 3,500 grafts can do this in one session rather than two sessions of 1,750. In my opinion the ability to perform Ultra Refined Follicular Unit Hair Transplantation with sessions of over 3,000 grafts is the new "Gold Standard" in hair transplantation. Standard follicular unit grafting just isn't the optimal procedure from the patient's point of view. The bar for true excellence has moved higher and dedicated physicians need to stretch to remain at the cutting edge. That is why having the capability to perform large sessions of Ultra Refined Follicular Unit Hair Transplantation has been required of all members of the Coalition of Independent Hair Restoration Physicians since March of last year. Many members of the Coalition currently believe that most patients with average density and scalp elasticity typically should not exceed 3,500 to 4,000 grafts in one session. However, for ideal candidates many Coalition members have done sessions in excess of 4,000 grafts, with Hasson and Wong doing cases as large as 6,000 grafts. Those physicians who master large sessions of Ultra Refined Follicular Unit Hair Transplantation will be rewarded as knowledgeable patients seek them out. Those who are unwilling or unable to step up and provide such a cutting edge procedure will be left wondering why patients are traveling out of their area to get hair transplantation. In my opinion, hair restoration web communities and the patients who make them live and breath, will act as a positive catalyst in this evolutionary process. It's also great to see cutting edge clinics like the Shapiro Medical Group, the Charles Medical Group and Hasson and Wong opening their clinic doors to other physicians by hosting the Coalition Surgical Workshops. Clearly they value improving the work of their entire profession over trying to maintain "competitive advantage". The next Coalition Surgical Workshop will be hosted this coming August in Vancouver by Hasson and Wong. I know that interest in their work is very high and this event will be very well attended.
  4. gfunk, I would suggest sending your pics to several different doctors and they will set up phone consultations. For starters, I would try Hasson & Wong, Feller & Cole. It's hard for me to say what to do. I'll leave that to the experts, but here's a few scenarios that I've seen take place with othere patients: 1. If you have sufficient donor hair, the doc can do another strip procedure. Hopefully he can remove your old scar(s) and then use the new grafts to fill in the gaps and do any camoflauging that's neccessary. Then you can be fixed front & back. When I had my strip procedure done with Dr. Hasson, he 40 of the grafts and placed them into one of my old scars. It did the trick and broke it up.I know you said you weren't worried about the back, but I would check every option while your're at it. 2. You go the FUE/FIT route and have some of the old mini's removed if they're a little pluggy looking. they can then be re-distributed but i believe the survival rate of the graft goes down once it's changed locations again. I had some bad work done before and was repair patient, so I know how you feel. Hang in there, take your time and do your homework. You can't afford to have any more bad work, so make this one count. Keep us posted. Good luck.
  5. Dr. Hasson, The video of your patient with the tricho technique used was incredible. Do you feel this technique is "as effective" for revision cases? Thanks, GuitarPlayer
  6. Dr. Hasson, Thank You for taking the time to answer the questions raised by myself and others, and for expressing your views here. Myself and many others have been astounded by the results yourself and Dr. Wong have produced in the past years. I can appreciate not settling for the "standard" and truly pushing the limits of science and technology. In regards to the timeline, what I meant was the ability to view patients that have undergone 2 larger sessions versus the "one pass" techniques employed by you and Dr. Wong, coupled with other clinics raising the bar to include larger sessions. Of course, I am referring to patients like myself; those who plan to do 3000+ sessions consecutively, and who benefit from the Frechet/Tricho closure methods that your practice and other "top" clinics now use. (my strip at 1.25cm x 27cm long yielded 3100, so a 2cm strip of the same size would have yielded 4300+ with ease) I am aware of your tremendous success as I have combed (no pun intended ), through the photos of your patients with great relish. I think we might be arguing too fine a point, and it may be moot, but philosophically a difference exists. That might be that many doctors cannot physically or mentally perform such sessions, they are unwilling to provide the equipment or staff necessary as well, or simply do not agree with sessions of that size. If that is the case, they will either step up to providing larger sessions, (3000 to 4000), or fall by the wayside. Regardless, your results are amazing, period. I think I would enjoy a conversation or two over a pint, should the occasion present itself. Thank You again, and continued success.
  7. The B Spot, You are "Spot" on with your assessment of megasessions. The questions that you raise are excellent and are the exact same questions that have been put to us by fellow physicians and prospective patients alike. I believe that for the most part we have answered the questions and proven ourselves to those who have been dubious. The thing that you are missing is the time line in the development of these megasessions. The reason for this is the absence of H&W from this site for the past year. Prior to this, H&W were front and center on this website regarding our megasessions, dense packing techniques, Lateral Slit, custom size incision blades and other innovations which led to the development of what Pat Hennessey has appropriately termed the "Ultra Refined Dense Packing" technique. H&W showed more results and had more patients chronicle their own experiences than all the other clinics combined. So, B Spot, when you say that time will tell the tale here I think that ( due to no fault of your own) you have already missed the boat. In fact in 2003 when Pat Hennessey awarded the 1st and only International Patients' Choice Award H&W won ??“ apparently by a landslide. Still there were those ??“ primarily physicians- who were still skeptical and felt that only seeing would be believing. We stepped up to the plate and produced 25 patients in the flesh for viewing at the ISHRS meeting in Vancouver in 2004. These patients either had received sessions of >5000 fu's in a single session or were dense packed in one pass at >70 fu per cm2. I believe that we made most physicians believers that day. This is what Dr. Richard Shiel wrote afterwards in the Hair Transplant Forum Magazine. "Meeting Highlights The indeligible image I will take away from this meeting is that of the patients of Drs. Victor Hasson and Jerry Wong. These were demonstrated at the Live Patient Viewing on Friday afternoon. To say that these results were "mind-blowing" would be an understatement. Please picture a young man with over 5000 FUs harvested and planted in A SINGLE SESSION and growing with close to 100% perfection. Not only growing, but planted at up to 80 grafts per square centimeter and giving the appearance of completely normal hair direction and density with no "crinkle" whatsoever and a donor scar of 1-2mm. The rest of us will be a long time catching up with the skills of Jerry and Victor and their wonderful staff of assistants." Since that time we have had numerous doctors come and observe our technologies including Drs. Ron Shapiro, Paul Rose, Glen Charles, Alan Feller, Ed Epstein, David Seager and others. In addition Pat Hennessey has asked us to host a workshop for the Coalition Drs. Which will be held here this summer. I believe that this website has been instrumental in raising the bar for HT surgeons worldwide. It has raised the level of knowledge in the patient population to the extent that they demand the most up to date surgery available. Today that means dense packed, one pass, megasessions of which we have already performed over 2000 times in the past four years. Victor Hasson MD
  8. Hi, Well i can identify with your problem cause i have the same. I was too young and stupid and had my first of three procedures at 21,22,23 which totalled 800 minni and micro's.My hairline was placed to low and i was left with a pluggy hairline and a wide donor scar from the famous Dr. Brandy. 1998 went to Dr. True and receivced 1300 graphs to try and mask the problem with a new donor area which i am told might have been taken out of the sweet spot of donor hair.Hairline is a little better but i am not happy with it.I just saw Dr. Bernstein last week who specializes in repairs and he said that i should have about 20 to 30 graphs removed and split into fut and replanted.Then maybe later on do a small session of 400 in the hairline.Also a was told that i really have no or very little donor hair left that was very upsetting I am glad i saw Brstein,It makes sense not masking the problem and try and soften it with removal or thick graphs. I feel in my opinion there are three top docs i trust for repairs. Berstein,Shaprio,and Hasson and Wong. They is hope for you just get opinions from a few docs.
  9. Guest

    mudpuppy

    I did them on & off, im not that good about those things, i am getting tight in the back i was told by Dr. Hasson, i will do them in the next year or two probably everyday because i want another 2000 graphs in the future if its possible (hairgreed), good luck in Vancouver, bring an umbrella it rains everyday
  10. On Saturday, February 4th dedicated physicians from across North America came together at the Charles Medical Group clinic in Boca Raton, Florida to exchange ideas about hair transplantion. This surgical workshop was sponsored by the Coalition of Independent Hair Restoration Physicians to enable physicians to learn more about Ultra Refined Follicular Unit Hair Transplantation, while sharing ideas and pointers. The "Gold Standard" for hair restoration surgery has risen to an ultra refined level. The Coalition is focused on advancing this optimal procedure not only by educating the public but also members of the hair restoration profession. All members of the Coalition have demonstrated mastery at performing the new Ultra Refined Follicular Unit Hair Transplantation with excellent results. This free event was limited to a dozen attendees to maintain an intimate scale. Some of these physicians are recommended on the Hair Transplant Network and/or are members of the Coalition. All of them share a common interest in striving to provide truly cutting edge ultra refined surgical procedures to their patients. Workshop Attendees: Dr. Glenn Charles of Boca Raton - Host of the event Dr. Bernie Nusbaum of Miami and an assistant Dr. Raymond Konior of Chicago (Coalition Member) and his lead Tech Jola Dr. Vito Quatela of Rochester, NY and two of his technical assistants Dr. Alan Bauman of Boca Raton Dr. Ricardo Mejia of Jupiter, Florida Dr. Joseph Williams of Las Vegas (Coalition Member) Dr. Mark Baxa of Charolette and NYC Dr. Tony Mollura of NYC Dr. Jack Fisher of Nashville Dr. Chris Gensheff of Madison, Wisconsin John Vincent, with the National Hair Journal, also attended the event to report on it for both the Journal and their radio show. The next Coalition Weekend Live Surgery Workshop will be hosted by Dr. Victor Hasson and Dr. Jerry Wong in Vancouver this coming August. Technical issues that were discussed during the workshop include: "??Remove a safe size donor strip, while keeping the transaction of follicles to an absolute minimum by carefully removing a single elliptical donor strip. "??Close and suture the donor area under minimal tension to minimize scarring of the donor area. "??Create an overlapping ledge along the suture (Trichophytic closure) to make the donor scar virtually undetectable. "??Use ultra tiny instruments that create minimally invasive incisions as small as 0.6 mm. "??Create incisions that are orientated (laterally and or sagitally) to achieve perfectly angled and directed hair that grows in completely natural directions. Following the surgery attendees also discussed practice management issues such as how to better find and educate patients both on and offline. Attendees later attended a dinner in Boca Raton where the discussion and exchange of ideas could be continued. To see photos of the Boca Raton workshop, click here. To see highlights from the last surgical workshop that was hosted by Dr. Ron Shapiro in Minneapolis in October, click here.
  11. Big D, your indivdual makeup coupled with surgical methods will determine how fast you heal, shed scabs, lose redness, etc... 2 weeks is about the right time needed if you are unable to wear a hat after the procedure. Of course that depends on the size of your session and where the grafts are placed as well. I had a larger session, and I am pretty pale during the winter months, but my redness dissapated quickly. I think the constant application of Grafcyte spray and religiously washing my hair with Nioxin seemed to help as well. When you do your consult with Shapiro, make sure you make them aware of your concerns in regards to not shaving the top of your head. Not shaving the top can affect session size and graft orientation. Make sure you look up a great post by Dr. Victor Hasson on shaving the recipient area before you make that decision.(A MUST!) Other than that, you will be in great hands, and keep us posted. Cheers!!!!
  12. Mudpuppy, How many grafts were you and Dr. Hasson shooting for? 3000? How many days post-op are you? GuitarPlayer
  13. Message from Paul Shapiro, MD: Hi to all on the hair transplant network. I am sorry for any confusion I may have caused and would like to introduce myself. I am Paul Shapiro, MD (please call me Dr. Paul) and I am Ron Shapiro MD's younger brother. I have been a medical doctor since 1986. Prior to working with my brother I have worked in medicine specializing in Pain Management, Rehabilitation Medicine, and as a Family Doctor. I am board certified with the American Academy of Family Medicine and a Diplomate of American Academy of Pain Management. I have been following Ron's career and attending hair transplant conferences since 1995, but seriously decided to learn hair restoration surgery six years ago after moving to Minneapolis. In the past five years I have gone through intensive training, first observing Ron and his staff, next assisting with surgeries, then performing surgeries with Ron's or Dr. Rose's supervision, and finally performing surgeries on my own. I have been performing solo surgeries for the past two years. In addition to my training at Shapiro Medical Group, Ron has arranged for me to visit and observe a number of well respected hair transplant surgeons such as Victor Hassan, Jerry Cooley, and Ed Epstein. I am privileged to have such good teachers as my brother and Dr. Paul Rose. I love doing the surgeries and feel that the quality of my work is comparable to any doctors who have done surgery at Shapiro Medical Group. As many of you know, besides Dr. Paul Rose, Dr. Sharon Keen and Dr. Glen Charles have worked at Shapiro Medical Group. Due to Dr. Ron Shapiro's reputation and his busy lecturing schedule, his surgery schedule is usually full up to three months ahead of time, thus it is more difficult to schedule a surgery with him. Since I do not have any teaching obligations and do not attend as many medical meetings, my schedule is more open then my brothers. For these reasons we have a different pricing schedule for surgeries done by myself then Ron. Our pricing schedule gives patients more options while still offering them the quality of work that is a standard at Shapiro Medical Group. It will always been our policy to let the patient decide which doctor will perform their surgery and a patient can always choose to have their surgery done by my brother. I am not mentioned on our web site because we are in the process of re-writing our web site and it should be completed in the next month. At that time I will be able to post some photographs of my work on the web site. I hope this response clarifies your questions and concerns. If anyone ever wants to ask me any questions my email is pshapiromd@shapiromedical .com. Paul V. Shapiro, MD
  14. Dear Joe and H&W Team, Thanks for sharing the results of this new closure method. I think its a great breakthrough in HT and it only gets better. My only wish is that either Dr. Wong or Hasson opened an office on the East Coast of the US, I am sure we would fill up their offices. Thanks so much.
  15. Posted by Mudpuppy. Do I think Dr. Ron Shapiro is top notch? Yes Do I think Matt made a bad call on my donor? I still think so but theres no harm done Did he do it to book me for 3 procedures or for my own good? im honestly struggling with that one Do i wish i had a bigger session? Yes To sum it up i think Dr. Shapiro performed a miracle with only 2523 Graphs in front and back, it is so natural you cannot tell anything and for that im very thankful, when i see other pictures of 2500 Graphs and what they got i feel lucky that i started with Dr. Shapiro. This is a hard decision for me to change clinics for my next procedure (Really hard!!!) but i have done my research and feel confident in Dr. Hasson, im going to be more aggressive than Dr. Shapiro would have done on me by about 1 thousand Graphs or more. If my post came of as a moderator, sorry, that was not my intention. Now, as to the nature of your reply to me: You say this is about sharing your views, and for me to back off. Exactly which experience are you speaking off? The response you gave here, does not add up, period. This is what I am referring to when I said I did not like you posting crap that DIRECTLY contradicts your previous posts. In this post we have someone simply looking for information and clarification, and he has received it. BTW, How else do you think doctors learn to do HT's? They train under other (hopefully) doctors, and hone their skills that way. EVERY DOCTOR. H&W, Shapiro, Haber, Konier consults, and inumerous phone conversations with consultants. Oh,and BTW, my HT was the day before Coalition meeting hosted by Dr. Shapiro, so I was able to actually speak with several doctors as they examined me 1 day post op, along with conversing about the use of different slitting techniques that I remember very vividly. I guess I should have just left your post alone, as it is quite irrelevant, to the topic. Oh,and I don't need to defend Ron Shapiro, you have already done that in a previous post. You are certainly enititled to your opinion, but as far as doctors go, we are in agreement.
  16. MPBC, Anything other than follicular units is outdated. I wouldn't consider doing any more minigrafting. Regarding major shock loss, how much of your original hair do you have left? I wouldn't think you have much of your original hair left after four transplants. You shouldn't experience much shock loss to your transplanted hair. As Laughter's Medicine stated, geographic location shouldn't play a major role in your decision, however, there are some very fine physicians in the New York City area. Dr. Bernstein, Dr. Epstein, and Dr. True are all in the New York City area and all come highly recommended on this site. It is always wise to have more than one consult. With that being said, Hasson and Wong have a very good reputation, so you are off to a good start. GuitarPlayer
  17. This patient came to Dr. Hasson asking for restoration of his receding hairline. In one session Dr. Hasson dense packed 4200 grafts to achieve a stunning result at only 7 months post-op. In the coming months these results will continue to improve even more.
  18. This patient came to Dr. Hasson asking for restoration of his receding hairline. In one session Dr. Hasson dense packed 4200 grafts to achieve a stunning result at only 7 months post-op. In the coming months these results will continue to improve even more.
  19. Pat, Great analysis on this technique. Are there any differences between Hasson and Wong's, Dr. Epstein's, and Dr. Rose's respective techniques or are they just giving the technique different names? GuitarPlayer
  20. Thanks Doc. While I'l be on my way to a few consultations with some other Docs tomorrow, it's great hearing it from the guy who wrote the book. I did call yesterday to consult with Dr. Wong or yourself. Just a bit inconvenient for me, as it will require a trip north. I'm in a bad predicament when it comes to this issue. My job doesn't allow for any alteration in appearance in regards to hair "style", color, facial hair etc. Whie I can certainly get a leave of absence for a few months, it would put an awful lot of financial stress on me. I've waited so long to go back and do this, and the reality just struck me that it might not happen now. Couldn't be more shattered as it's been a priority. But although the truth hurts, it's refreshing for a doctor to deem it important enough to fess up the grim answer. Down deep I know that a few months will never get my hair back the way it is. I have grown out to six inches in the front and slick it backwards. Might be as much as a year's growth. This is the kind of information that makes this forum so outstanding. And rather than ignore an expert opinion in order to get the answers I want, my mind has shifted into another mode of "how to" make this approach happen. Thanks again. And another note to all those reading and especially those that have not yet gone down the road. BE CERTAIN. While baldness can play tricks on your mind, depress you, ruin your confidence and all those things, it's much worse it you end up with anything at all that's detectable. For me, my repair made me just okay for the moment, but it still eats at me that if I coud get just one mega with Dr. Hasson, I'd be back on top (pardon the bad pun).
  21. Dr. Hasson provided me with an excellent explanation as to the benefits of cutting the recipient area hair short just prior to surgery. While not all patients will be comfortable in doing this, Dr. Hasson does explain the benefits of cutting the hair short in his below explanation - "All, I originally typed this post in response to Bezane and his question to Pat regarding recipient site shaving. I feel that this is a very important issue and deserved it's own thread. Bezane, The question you ask about shaving is a good one and one that I would like to address. When you ask if it is necessary to shave the pre-existing hair before surgery- the answer is- "it depends". Depends on what? It depends on the quality of the result that you are looking for. Some patients (and doctors) will be satisfied with a less than optimal result while others will want to achieve the very best result possible. For this long term gain a patient may have to endure some inconvenience including buzzing of the recipient area. There are multiple technical factors that come into play during the creation of recipient sites and the subsequent graft placement. These include: 1.) When thinning areas are shaved down the "thinning process" takes on a different meaning. With the use of magnification it will be seen that some follicular bundles are absent (and there are wider spaces between remaining bundles) and that some bundles are significantly miniaturized. It will then be possible to place new recipient sites in the place of absent bundles and alongside miniaturized bundles to recreate the density. This can also be done in a uniform manner so that if the pre-existing hair eventually disappears, due to progression of hairloss, the transplant can still look reasonably natural. If the recipient site is not shaved the surgeon must part through the hair again and again looking for any empty spaces and trying to fill the spaces as best as possible. This is not really as exact a process but much more hit or miss. 2.) The hair exits the scalp at an exact angle. The only way to precisely match that angle is to buzz the recipient hair down (in a way similar to how ALL doctors need to shave the donor hair when taking out the donor strip). 3.) Transection of existing hair below the skin surface is possible if the incisions are not made exactly parallel to the surrounding bundles. We often see this as a "halo" type effect when performing repair procedures. 4.) When inserting grafts the technicians can easily identify the recipient sites and ensure that all sites are filled. This can be achieved with no trauma to the pre-existing hair. 5.) When hair is buzzed no manipulation of the pre-existing hair is required at all. When the hair is not shaved it needs to be combed through (hundreds of times) by the physician who makes the recipients sites and again by the technician who places the grafts into the sites. This repetitive trauma of combing through the hair again and again will result in "hair shock", a shedding of the existing hair. When this hair falls out in 2 to 3 weeks there will be a 2 to 3 month wait before it returns. Whereas if the hair were buzzed it would grow from day one 1 and keep growing. A number 3 buzz cut often will look good at 10 to 14 days post operatively and blend in with the recipient site well. Bezane, all these factors are relatively unimportant if you are trying to place to 2 or 3 hundred grafts into recipient sites however if you wish to have the ultra refined type of result that Pat Hennessey advocates, the difference will be night and day. I apologize if what I've said in any way contradicts what others have told you but I feel you should hear this from the doctors who basically developed the process you know as "ultra refined follicular grafting". I have attached photos of a patient who has undergone a mega (mega mega) session into a large area of thinning scalp- before and ten days after surgery. Hopefully my reasoning will be self explanatory. Sincerely, Victor Hasson MD"
  22. I also had to jump in on this thread here. Hey dhuge67 I think it would be wise if nothing else to have a couple consultations with other docs. I live in the Eastern PA area and travled to see Dr. Feller after other previous consultations. Dr. Feller gave me sound advise and did not pull any punches. I highly recommend traveling to Great Neck, NY and meeting him. I am 26 years old myself and had a transplant in September with Feller. 2700 grafts out of a planned 2500 procedure. It was interesting expirence and the results are starting to show. But, I can also now see where more work will be needed which is not a surprise because Feller told me this would be the case. Don't rush into getting this done! I would simply postpone with Pistone for awhile and get free consultations with Feller and True/Dorin which are both up the Jersey turnpike in NY if you live in east PA. If they give the same info that Pistone did then rock on and get the transplant. You might even decide to go with someone else instead! In conclusion I feel your pain as far as being young and bald. Its a raw deal but at least you know there are answers. Just make the right decision and in the end it will pay off. Pistone might be the next Feller or Hasson/Wong but also could be a Bosley reject *shudders*
  23. Interest in this free cutting edge ultra refined surgical presentation has been strong. But to keep the gathering from getting too crowded we tried to limit attendance to ten physicians but ended up with twelve. Some of these physicians are recommended on the Hair Transplant Network and/or are members of the Coalition. Some are not currently recommened but are being considered for recommendation on the Network. All of them share a common interest in striving to provide truly cutting edge ultra refined surgical procedures to their patients. Current attendees for the February 4th weekend workshop are listed below: Dr. Glenn Charles of Boca Raton (Coalition Member) and Host of the event Dr. Bernie Nusbaum of Miami and an assistant Dr. Ron Shapiro of Minneapolis Dr. Raymond Konior of Chicago (Coalition Member) and his lead Tech Jola Dr. Vito Quatela of Rochester, NY Dr. Alan Bauman of Boca Raton Dr. Jeff Epstein of Miami (Coalition Member) Dr. Ricardo Mejia of Jupiter, Florida Dr. Joseph Williams of Las Vegas (Coalition Member) Dr. Mark Baxa of Charolette and NYC Dr. Tony Mollura of NYC Dr. Jack Fisher of Nashville Dr. Chris Gensheff of Madison, Wisconsin I also got exciting news that Hasson and Wong would like to host the next Coalition Weekend Workshop at their clinic in Vancouver Canada this upcoming summer. I expect there will be very keene interest in this meeting. Perhaps we will even need to hire security so that the patient is not crushed by a stampede of interested physicians crowding into the surgical suite.
  24. Saw your pictures. My opinion is same as before.. Going for HT at such a young age without being on propecia = heading for disaster. Call following doctors and set a phone consultation and take their opinion. In my opinion these are the top 4 Hair Transplant surgeons, and I am sure most people will agree with me on that: Dr. Jeri Wong (Hasson and Wong) Dr. Hasson (Hasson and Wong) Dr. Ron Shapiro Dr. Jeffrey Epstein (Miami)
  25. Hairworthy, You got a steal for $8500, especially considering your impressive results. How long ago did you have your procedure with Dr. Hasson? GuitarPlayer Hairworthy, Don't bother answering my question as I just realized that in your signature it states that you had your procedure in June of 2004. GuitarPlayer
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