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  1. Hi All. Been reading posts on this site for several years and want to begin by saying ‘Thank You’ to those that have come before me. Without the countless hours of watching the progress and results of others, I’d never have had the confidence to give a HT a shot. I recently took the plunge and had an FUE performed. I don’t plant to go into details about the surgeon or the facility. I’ve seen in other posts where unconscious bias about a given surgeon sways the type of feedback received. So like some others I’ve seen on this site, I plan to omit surgeon ID until month 8 (arbitrary date). Until then hopefully focus will just be on the results. I will go into details about the surgeon/clinic in a few months time, but for now I have only positive things to say about my time there. Surgeon, technicians, clinic - everything was top notch. Ok, so here’s my story quickly. My hairline began receding in my late 20s, and now in my late 30s it had progressed to being well on its way to a solid Norwood 3a. I’d met with reps of the clinic who’d both felt I was a candidate for somewhere between 2500-3000 grafts. Upon arrival at the clinic, however, Dr took one look at me and said that due to the fine/thin nature of my hair, that he was reluctant to proceed with anything less than 4000. After quick contemplation I agreed with his advice and we proceeded as follows: Day 1: 2,633 Grafts 404 singles 1639 doubles 590 multi's (~5,452 hairs) Day 2: 1,717 Grafts 113 singles 1109 doubles 495 multi's (~3,816 hairs) Total: 4,350 grafts 517 singles 2748 doubles 1085 multi’s ~9,268 hairs Here are the pics. 2 photos taken morning of surgery Surgery Day 1 Surgery Day 2 Several pics following surgery with post-op date noted on the pic. I should note I am sensitive to epinephrine so the team had to use the a lot less epi when injecting my scalp with the anesthesia. The lack of epi caused more bleeding and bruising (and pain) than normal, but the team handled it all like pros. Eager to hear any feedback folks have and happy to answer any questions as well. Thanks.
  2. If you were considering FUT I would have said H&W is an easy answer. But while they are solid in FUE without doubt, they aren't above anyone else like they almost do with FUT. That said between all 3 they would be my choice (think Dr.Wong also is a tad better than Hasson in FUE, but don't take my word for it) ASMED produced some amazing results for some comparable cases, some other solid cases. But they also have underwhelming results too. Rahal is great, but there have been some recent complains IIRC. Are those your only options? I think if you can afford H&W FUE you might consider someone like Dr.Diep? I do really like his FUE work with high norwood patients.
  3. Hello all, I finally bit the bullet. To give everyone a rundown I’m 39 years old this year. I live out of Austin, TX but I’m from closer to the Houston area. I started thinning when I was 18 and I tried everything to slow down the process, admittedly without a lot of knowledge back then. This was 1998 and I didn’t know much about propecia or minoxidil. I tried shampoos and all kinds of gimmicks. I did try propecia and minoxidil liquid but because I didn’t know enough about it and didn’t see immediate results I just stopped and got on with my life. It all started in my crown and then over the course of a decade marched its way forward toward my hairline. While my crown was very noticeably thin my hairline and frontal third stayed noticeably strong until my mid to semi late 20’s. At 24 I went and had my first consultation at a Bosley clinic in Houston and the whole experience made me feel uneasy. The doctor wasn’t really concerned with my crown which is where all the thinning was happening and wanted to lower my hairline which was still a teenage hairline. It was less than four fingers down on my forehead and still really thick. Ah, how I miss that wall of hair... lol. I politely passed but they called me every single day for two years straight trying to get me to come in for the transplant. They wanted to charge me 20K to lower my hairline and sprinkle some grafts in the crown. Knowing what I know now I think back about how they didn’t even bother to mention propecia to help slow loss. Bullet. Dodged. I got married in 2010 which ended really badly very soon after and my hair really started to go after that. Around 2012 I went to Dr Brad Limmer and got on Propecia/biotin/minoxidil foam to slow things down. Sadly he passed away the next year almost to the day of my consultation with him. I’m an actor and I was staying in Houston with a friend in 2014 while filming a movie in Louisiana when someone mentioned Dr. Arocha. I scheduled a consultation and we immediately got on very well. I loved his attitude, how much knowledge he wanted to share, that he was very honest about what we could achieve. I was traveling a lot though and it just wasn’t the right time to pull the trigger. While I traveled around the states for jobs I would schedule consultations with other doctors. I spoke with Feller and Bloxham, Gabel, Hasson and Wong, and others-some through email, FaceTime, in person. Ultimately it came down to me feeling the most comfortable with Arocha although Gabel was pretty close. I’m a diffused thinner and if my father and maternal grandfather are any indication I’m going to end up a 6 on the Norwood’s scale. I was going to go ahead with the procedure last year but my wife (I got married again in 2017) and I found out we were pregnant with twins so I decided to wait until things settled down with them. Side note: I did not stop taking finasteride when we found out we were pregnant and our babies our beautiful and healthy and at the time of this post almost 6 months old. The Big Day! I got to Arocha’s office a little after 7:30 am (traffic in Houston sucks) I signed the paperwork. We took some preop pics. Dr Arocha designed the hairline basically within my existing one. The plan was to work through the existing hairline, fill in the temple corner recession, and bulk up the frontal forelock. We discussed what we would do next year, reassess the front or go ahead and work on the crown. Everybody was really nice. I was visibly nervous and my blood pressure was a little high due to my being a little antsy. The Valium quickly helped out with that. When they were injecting the numbing solution into the back of my scalp I noticed I started shaking and feeling queasy so I spoke up immediately. They turned me over and raised my legs and put ice on my chest. I almost immediately felt better. Dr Arocha was there and cracked a joke about how I was his first patient of the day but probably his 7000th patient altogether so there was really nothing to worry about. TBH I wasn’t nervous about his ability to help me as much as I was just nervous about this giant step I was taking. After this procedure there was no going back. I turned back over when I was ready and they took the strip out. They kept complementing me on how good my donor was however I never got a number from them. I asked but they were just like, “don’t worry, it’s really really good.” I believe I heard say as they were looking at it that it looked like 80 to 90. Dr Arocha started to make the incisions and we talked for awhile before I dozed off and the next thing I know is I’m waking up to salmon kabobs, a killer salad, and potato and black bean soup. I eat up and then I go back to the chair where the techs start to insert the grafts. We chat for quite awhile. Dr Arocha was there for quite a bit of it as he would interject in our conversations. Every once in a while he would remind them about this or that concerning my grafts. I dozed off again and when I woke up we were basically done. They informed me that while I was out they put PRP all over my head. They went over cleaning instructions and we took some post op pics. My wife came in to pick me up and everyone came out to meet our twins. After that we were off and back to Austin. The ride back was pretty rough. There was a lot of pressure in my head and I got a pretty bad headache. Even with the pain pills. It didn’t even last the entire three hour drive though. I’m attaching some pics. Some preop through day two. I don’t have any pics with the design yet. I’m going to speak to Arocha’s office and see if I can get my hands on the hairline design.
  4. Long-time creeper, first-time poster. I had two prior HTs scheduled with local doctors but backed out weeks before. So glad I did because given my hair loss pattern (NW6), I needed to put myself in the best position for a quality, long-term result which consensus seems to point to H&W (large FUT for high NW). This forum saved me from not going with an elite surgeon. It's only fair I pay it forward. I've been on propecia for 5 years now. Directly from the front, you really couldn't tell I had any hairloss. It's primarily focused on the crown. 3,700 grafts were placed in the crown, sized around ~85 cm2 for a density around ~43/cm2 . I was told I have slightly above average texture and hair diameter. While I have coverage in the mid-scalp and front, it's miniaturized all over. I'd like to tackle the remainder in the future. I was told I have 4,000 grafts remaining via FUT alone. Nothing new to add about the procedure that hasn't been said in the past. Dr. Hasson's results should speak for themselves. After scouring the internet for two years, it's clear he's arguably the best surgeon when it comes to FUT for high NW patients. I feel I put myself in the best position for a successful result. Time will tell. Pictures are mid-op, 1 day post-op, pre-op wet, and pre-op dry. Thoughts/feedback would be greatly appreciated!
  5. This Vancouver area patient in his late 20’s came to Hasson & Wong in order to restore his thinning receded hairline. Dr. Hasson and his team successfully rebuilt a new lower hairline and added density to the necessary areas of the frontal zone. 3462 grafts were harvested over a two-day FUE procedure. 844 of these grafts were singles, and 2618 were doubles. These photos were taken approximately 12 months post-op.
  6. Hello all, I’m posing this question as a prior FUE patient (not of either doctor). I am not currently looking to get a procedure because my hair is pretty good right now but I will be looking within the next two years or so, and I couldn’t find any information about the above topic. I lurk on these forums often to stay up to date with things and check out results because it’s very interesting to me and makes me happy to see guys getting great results. I have seen some really good things from both Hasson and Wong of H&W clinic fame. They have a robust patient community and some good marketing and are known globally. I have also recently discovered Dr. Raymond Konior in Chicago, which is close to where I live. I’ve conversed with him several times just asking about his methods and was truly impressed by his responsiveness. His results are also amazing and I have not found anything bad about him. I’ve compared results between the two and honestly it’s hard to really tell which takes the cake. With someone like me who is willing to wait a while, what is the best course of action that you would take? Could I be better suited with one or the other? My procedure would be entirely in the frontal third, mostly the hairline, and I’m looking for FUE. I can upload some pics later, as well.
  7. Hi folks. So I'm finally ready to take the plunge, live in Toronto Canada and have narrowed my short list to Dr. Nadimi in Chicago (of Konior fame), H&W in Vancouver, and Dr. Rahal in Toronto. My consults with each of them went like this: Dr. Nadimi: FaceTime consult Surgery in Chicago 1500-2000 FUE grafts recommended, could be all the way up to 2400 Shes not entirely sure she can get 2400 FUE grafts from my donor area based on photos and not-so-great FaceTime connection She will perform all extracts and most implants, will be there the entire time Does not feel comfortable doing more than 2400 FUE in a session due to scalp blood supply and time that grafts need to be implanted by (~8 hours) Uses latest tech, hybrid dull/sharp punch, learned everything from Konoir Potentially a discount for future hair transplants No official growth guarantee Recommended to stay in Chicago for a week to get looked after by the clinic Seems like a high end operation Dr. Rahal (Aaron and Tara did the consult): Aaron started the consult and was decent, called in Tara in the middle who blew me away In person consult Surgery in Toronto Measured a total of approx 5000 FUE grafts available in donor area 2500-3000 FUE grafts recommended for 1st transplant of hairline, will likely need another 2500 down the road for crown and touch up, aiming for 45-50 follicles per square cm Estimated Norwood 4-5 in the future No issues doing 3000 FUE in 8 hours, they have done 4200 in a day before Also uses latest hybrid dull/sharp punch tech Rahal and Mike will perform the extractions, Rahal will make the incisions and someone other than Rahal will implant Growth guarantee and free touch ups (not sure what the fine print is around this) Discounted graft rate for future transplants Patient care team access for a year Suggested pairing with PRP Hasson & Wong (James did the consult): In person consult Surgery in Vancouver 3000 FUE grafts recommended, possibly have 5000-6000 FUE grafts in donor area 3000 FUE done over two days, they limit surgeries to about 2000 FUE per day Recommended Dr. Hasson due to hairline objective (Wong more for crown work) Each doctor has performed 10,000+ surgeries Also uses latest hybrid dull/sharp punch tech, 0.85 punch size Techs do the extraction and implantation, Hasson performs incisions Estimated Norwood 5A future recession Informal growth guarantee and free touch ups Discounted future transplants For out of town patients they offer free lodging (3 days), taxis to and from the airport, and a partial flight credit I have to say, Rahal's team did the best sell job and I'm leaning that way.. but is 2500-3000 FUE too ambitious for one day? Am I risking hairs due to them rushing? I don't want to bias your opinion any more than that, but based on your experience on this forum, knowledge, what was said above and my pictures, what would you do? Any other insight or commentary you could offer before I make the plunge? Are there any other GTA doctors that I must absolutely check out? Hoping to finalize a decision in the next few days. REALLY appreciate all the help and support you guys can give. Thanks.
  8. To be honest I am not sure when I really started to lose my hair. It was more of a woke up one day and thought "What the hell happened?" At any rate, around 40 or I met with a doctor in Beverly Hills and he gave me some idea of what the procedure would be like and what to expect. He did not recommend any drugs to prevent future hair loss though. I also didn't even think to ask. I, of course, did not go through with the surgery at that time. Instead I waited a couple of more years and eventually stumbled across this site. My process for this procedure was to talk to a few different doctors and then make a decision on if I was really going to do this and if so pick the appropriate doctor. Over the course of about 6 months I met with a handful of doctors. The first person I met with when I was 40 in Beverly Hills was Marc Dauer. He was a nice guy and gave me a lot of insight as to what the procedure would be like and what I could expect. Fast forward a couple of years and I ended up meeting with Micheal Meskin in Newport Beach, Daniel McGrath in Austin, TX, Hasson & Wong in Canada, and finally Scott Alexander in Phoenix, Az. All the doctors I met with were very professional and all of them were very open about what to expect for the procedure and what the healing process would be like. All the doctors, except Hasson & Wong, thought they could get about 2,500 grafts and maybe up to 3,000 if I was lucky. H & W said they could get 5,000. Maybe they could have. I don't know, but since their number was so much larger than other doctors it made me skeptical. Also, after a couple of weeks of communication and working through the specifics H &W just stopped responding. Ultimately, I ended up choosing Dr. Scott Alexander at the Biltmore Surgical Hair Restoration. All the doctors I spoke to varied in price from $3.50 - $5.00 per graft. Price, while important, wasn't a factor that would have prevented me from picking the doctor I wanted. In the end I chose Dr. Alexander because he had a ton of great reviews on this site. I had my surgery completed on Aug 2. Attached are the before and after surgery pics. I included other pics since it has been 2 weeks now and I am just getting around to posting this review. The surgery started around 730am and ended around 6pm. The office brought in lunch and I watched movies while Dr. Alexander and his staff worked away. The surgery was a success since the estimate was around 2,500 grafts. Instead we got 3,590 grafts (614 singles, 2006 doubles, and 970 multi hairs)! This allowed them to fill in a much larger area than expected. Prior to surgery I had started Finasteride and using a shampoo/conditioner called Ultrax. I figured if I am going to spend this type of money then I better work at protecting it. I wanted to be on Finesteride for about 6 weeks before the surgery. I wanted to make sure I would be side effect free before completing the surgery. When the surgery was complete I went back to the hotel ordered some food and took a pain killer. I was glad I took the pain killer because when the numbing agent wore off my scalp it hurt pretty badly. Although, the pain killer put me to sleep pretty quickly. I flew back to LA the next morning. I really didn't have any pain after the surgery. The donor area and my scalp were tender, but they didn't hurt. I removed my stitches on Aug 9, 7 days after surgery. The doctor that removed them thought the scar looked nice and that the work done on the top looked very good at that point as well. All the scabs on the top of my head had healed within 10 days. Right now the top and some parts of the donor area are still a little tender, but healing. It has been 16 days as of today and I did get a haircut. I needed to clean up my neck and around my ears. The stylist commented on how good the scar looked and that it looked healed at this point. I have been living in a hat when I am in public and will continue to do so until the top grows out to a length I can style it. I have been very open with clients, coworkers, friends, etc about the procedure. Interestingly enough most of the guys have been considering doing something about their hair loss and the women are intrigued. Sorry for the poor pics. I am taking the photos on my own so all the angles and things are hard to get. If anyone has any questions let me know. I will continue to post as the hair starts to grow in. Right now I am starting to get a tiny bit of shedding. I am guessing this will continue and all the transplanted hair will fall out over the next week or so.
  9. While I didn't create an account on this forum over the last couple of years it was invaluable in my research process and I want to pay it forward, especially since I seem to be seeing fewer patient posts with recent dates, at least for Dr. Cooley. Thus I will try to be thorough here in describing my process. Apologies in advance for the length of the post and the variability of the quality of the photos. I know they aren't the best. I am still only a few days/weeks out and will update this with before photos and after photos from the clinic and exact graft count(s) when I get them and try not to disappear throughout the process. My Past Situation I had an ill-advised FUT procedure when I was 21 to address temple recession. I wasn't on meds, it was premature, and I went to a cheap chop shop. CLASSIC, young guy being really stupid. :sigh The procedure (unknown # of grafts) involved putting grafts on the temples and unfortunately also some around the front of my hairline. It did very little cosmetically unless you count triggering massive loss of existing hair (most of which did grow back in fairness). The only saving grace here is that we were talking about a fairly minor temple area and because of my light hair/skin contrast I've been able to get away with a forward brush hairstyle that hid really poor work. Oh and it wasn't big plugs and the scar wasn't horrendous and avoided being in any disastrous region(s) thankfully. No matter what you do STAY AWAY from Samson Hair Restoration in Los Angeles regardless of what doctor they currently have cycled in. Why now Now, 11 years later at 32 with some additional thinning and some recession the previous work was becoming harder to cover, especially when swimming or my hair was wet. Plus, I just wanted it fixed to open up different hairstyles and to get ahead of managing what I believe will be future loss. Almost a gradual "replace" strategy I guess. In terms of meds, I had been on finasteride w/ no side effects for 4 years but then went off for 5+ years (don't really know why). I went back on 6+ months ahead in prep for a procedure and plan to stick with it this time. Not on finasteride or any other shampoos etc at the moment. Picking the surgeon In terms of research this time around I did a lot more homework using this forum as the basis for creating a smaller list of doctors. Ultimately I narrowed my list and research to consults with Lindsay, Bernstein, Cooley, Bloxham, and Nadimi. I felt these were really great doctors that didn't necessarily require a flight based on my East Coast USA location (I was intrigued by Rahal, Hasson/Wong/Kronior and some of the other staple of well regarded doctors as well but with only so much time felt good with my short list). I did not consider India/Turkey etc., not because I don't believe quality results can't be achieved there, but because I didn't want to take the risk and conduct an extra level of due diligence with respect to many of the practices and I was willing to pay $ for that peace of mind. Notes on my Consults During my consult with Dr. Lindsay I felt like he just didn't think I needed a procedure yet. He cited 1200 grafts and it was all relatively cursory. So not a fit for me Dr. Bernstein was a good consult (worth the cost) where I learned a bit and I felt comfortable with him and his work, but ultimately I wasn't blown away by the results I've seen from him either on his website or on this and other forums My consult with Bloxham was really terrific and I got a great feeling from him. He was ultimately my #2 but I did not choose him mostly because he is just relatively newer with fewer posted results. And right or wrong, some of the (rare/older) negative comments about customer service/interactions from Feller put me off. I did NOT have any of this sense from Dr. Bloxham and have never met Feller but the posts are there nonetheless. I will also say, they need to upgrade their facility. Not the medical side hopefully, but the rest of the place was old and run down feeling. Dr. Nadimi was also great (via Skype) and matter of fact but I got the sense she did more FUE than FUT. Similar to Bloxham there are just fewer patient accounts out there that I could find, but based on what I've seen and this consult I was very comfortable and impressed with her Why Cooley Ultimately, I went with the only doctor I didn't meet/ have a convo with directly in Dr. Cooley. I appreciated the consult with Lollie and a deeper understanding of their procedures and liked what I heard about use of Acell, how he preserved grafts out of body, his hands on approach, the tenure of his techs, and so on. But most importantly Cooley's track record of consistent results and patient experiences tipped me over (including one detailed repair write-up by a Blonde haired individual, of which there are relatively few results). I also literally did not find a single negative review (of outcomes) for Cooley in all my research and I valued that apparent consistency. Procedure - Why FUT I knew I wanted FUT as I (a) already had a scar I felt could be improved, (b) wanted to maximize future grafts and survivability, and (c) wanted to minimize recovery time. I am lucky enough to have a lot of Donor and existing hair that can be used to hide a procedure. Pre-Procedure and Day of All things posted about Cooley experiences were true for me. I followed pre-op instructions for scalp laxity. I think this helped as I could feel the sides definitely loosen up, and while the back still felt tight Cooley said it was great and helped with suturing (+ sutures out at 2 weeks vs. 3 weeks). The hotel they set you up in is excellent, easy, convenient and they already know why you are there and what you need. Shuttle drivers, check-in staff, and others there were helpful and discrete and the breakfast and gym is open early enough for day of eating and a last workout. On the day of the operation we met at 7am, had a calm and not rushed discussion where any other questions I had were answered, and re-affirmed my choice of 2500 FUT + PRP/Acell. In terms of hairline we were on the same page to opt for a conservative/mature hairline though Cooley jumped straight to the need for work on the temples which he said he does not always do. This process of agreeing on this was FAST as a lot of it was bridging existing hair and the past work plus a little bit of pulling temples out/down. In terms of PRP, Cooley was candid that for me he didn't know if PRP would make much of a difference as he didn't see a ton of minituraization but (a) I'm paranoid and think there is more than there is/I have very fine hair already, and (b) I am hopeful that it will help somewhat with avoiding shock loss or speeding up recovery. I know there's no real scientific evidence to back that up, but I was willing to spend the $ on the chance it helps. I will say that to make sure you get what you need before surgery begins you should 100% come prepared with your questions. For example in my consult with Bloxham he indicated that my past FUT scar had a small area branching into the danger zone for donor and advised forking the scar near my ear. I really did NOT want to do this, so asked Cooley about it. He decided to implant 10-15 hairs in the end of the old scar as part of the procedure and end the new scar in a safer location. I do not think we would have ultimately done this if I had not asked. H/T to Bloxham for noticing it in a really thorough, caring consult. I also asked about a few grafts poorly placed in the front of my forehead below the 7CM mark we agreed to for the new hairline. He said if I was OK With it that he would remove those with electrolysis which I agreed to and am relieved about as they were definitely not natural looking. Overall, it was a good conversation. I, like most others, felt comfortable and cared for by Dr. Cooley and all of his other wonderful team members. I do think the clinic could get better about having all their pre and post op documentation organized and sent in a big PDF but that's super minor overall and has nothing to do with the in-person interactions I had. One other area that I felt could be improved is in discussing recovery times. The clinic (not Cooley himself) were fairly aggressive in terms of discussing post HT recovery periods and timeline (no redness 5 days, not visible procedure at 8 days etc). It's not that they are totally off, it's just that they are definitely giving the aggressive, "best-case" scenario in my opinion and shaded this as an absolute vs. discussing the potential ranges of recovery times based on patient characteristics. Still thus far in my case it has proven to not be too far off the mark so far (devil's always in the details though isn't it). Procedure itself From the Cooley consult we moved into the procedure. Numbing/valium etc was painless. Unlike others I don't think I really went fully under for the ENTIRE duration of the procedure, I even heard a nice little "ripping" type sound on removal, but no pain whatsoever. By 11:30 the donor was removed, there were 5-6 technicians on the microscopes, I had had PRP and he had done the few electrolysis removals needed. I stopped for lunch and then we carried on. Cooley performed all of the donor incisions, with Brandi hovering nearby, and was present for probably 90% of the graft placement. I know for sure he was doing all the immediate hairline grafts. I believe he left for a little over an hour in the middle of the procedure (basically the length of a movie), but I'm not 100% on whether he popped his head in a few times during that time or not. While he was not actively working on my head Brandi was performing graft placement and I believe Amy also worked on placing grafts. Cooley returned and was essentially there the rest of the day long after many of the other techs had left post dissecting the grafts (easily 4-5+ more hours). It was clear he reviewed and had ample time to change, correct, or ensure any grafts not placed with him in the room were to his liking. Like others have mentioned it was clear throughout the day that this was a well-oiled machine, with team members that had worked together for years (decades even). Everyone was friendly and taking a dedicated and personalized approach to the operation, and I couldn't imagine going somewhere with a doctor doing multiple ops in a day. Throughout the process Brandi was constantly checking Cooley and making sure anything "controversial" about his approach was discussed (a few graft placements here and there, reminders about how many grafts were left etc). All of this was reassuring. I am sure the reverse also happened. Ultimately for the 2,500 graft procedure Cooley was able to get over 3,000 grafts (I will get exact counts later) and we did not finish the day until a bit after 7pm, meaning I was there for nearly 12 hours. This extra time and attention, plus the grafts that were not something I had to pay extra for, all speak to his long-running record of caring about his patients and working tirelessly to get results. I am obviously grateful for this. Post Op - Healing, Pain, and Experience (Week 1) Donor got painful at the end of the day during the operation so I was numbed up again before I went home. I was obviously a bit red and beat up but it wasn't as bad as I was expecting and they had already done a pretty good job cleaning a lot of the blood off. Plus I was wearing Saran wrap + a hat so able to avoid any weird looks. On night 1 I took some Tylenol but nothing stronger--which is good because I didn't get the prescriptions until day-of for stronger meds. Cooley's post-op care uses an ATP spray + saran wrap to increase moisture and prevent any graft damage and antibiotic ointment on the donor scar. You basically spray every hour you are awake and wake up and spray every 2 hours for the first 2 nights along with taking some preventative Prednisone for swelling. I followed the instructions religiously here and I think it really helped calm redness and speed healing. On night 2 I was falling back asleep pretty quickly so it didn't feel too onerous to keep getting up. For sure it kept the itchiness to a real minimum in the first 6 days. I went back the next morning for a post-op clean and got the all good from Dr. Cooley. During this cleaning Amy took time to answer any questions I had about the next week of care and was patient with what I am sure are the same questions everyone asks. In terms of the documentation they gave me to follow, I actually think it could have been a bit more detailed. It wasn't that it was bad, but I felt like an "FAQ" or just more exhaustive detail would have helped. For example, I asked about caffeine / alcohol / ibuprofen which were not listed (Cooley says moderate amounts of both are fine), and it doesn't give you much about how to sleep (when can you sleep sidweays on the grafts) and so on. To give you a sense of how smooth this was, I drove almost 7 hours home the very next day, which was completely fine and painless. Overall I found the post-op regimen easy to follow, the spray and saran wrap seemingly very effective even if I did probably use it too quickly/aggressively to try to get it through the native hair as I ran out a day or two earlier than I think the clinic expects. One curious thing with post-op care from the clinic is that it seems that Cooley's overall instructions,are more aggressive than many other docs (like the timeline to shampoo (next day) and return to regular shampooing (7 days) . I'm sure this is because Cooley is confident in the healing/quality of the grafts and incisions etc and has refined his approach over time but it does make me just a little nervous when looking at the instructions online from so many other places that are much more conservative. But he's my doc and I'm in his hands and so far so good. On night 3 I slept poorly but not really due to pain, I think I just missed exercise. On night 4 and 5 I had more pain when putting the back of my head on pillows (I slept elevated with an inflatable travel pillow partially inflated these nights to help with any potential swelling) and I did take a valium one night and the other pain killer + tylenol combo prescribed drug the fifth night. It almost felt like the donor was a little more stretched these two nights with whatever position I could find that didnt have too much pressure. If this continues I'll call the office to make sure it's normal. Some posters here have mentioned this as the return of nerve sensation but I'm not sure. Otherwise I have had some very very minor swelling which made me break out some ice on my forehead and eye area a couple of times and take ibuprofen periodically as well. It was never uncomfortable or especially noticeable to anyone else however. Last point, I am using the Hair Shake protein. I don't really think it'll do much but I've used protein powder a lot anyway so I don't mind and if it helps at all with speed of growth or minimization of shock-loss, then it's worth a couple months of it for me. I am not planning on using it long term and no one at the Cooley office actually mentioned it directly despite having it stocked there and having it listed as an optional part of the post-op procedure. Post Op Appearance - First Week The scar in the back is perhaps slightly visible with wet hair (first 3-4 days) but completely hidden with normal dry hair. As mentioned it wasn't giving me much trouble the first 3-4 days, although of course everything felt really "tight" there. At night or with pressure on it day 5-6 it actually has felt a bit worse and I've taken some of the prescribed meds just to make sure I get decent enough sleep. We will see of course on final healing and appearance, it is early days. Redness in the recipient has subsided each day, and now at day 6 is not bad at all. It's probably worse in the pictures than in real life. I am fairly pale skinned but had a deep tan going which some say can help. There is definitely scabbing, it is super mild/light and looks like when I return to regular shampooing and rub the grafts a bit it will easily flake off and be gone within the 7-10 day timeframe that they gave. In any case, it's really mild and not that noticeable. I have used their given shampoo and started leaving the conditioner in a bit longer which I think has helped. I have a couple spots of dried blood left but overall it's pretty clean and I haven't noticed anything remotely like grafts falling out. Really, not even many/any hairs yet. The kicker here for me is that I 100% had to hide from the world during this time because I was (a) spraying every hour and (b) couldn't style my existing hair for fear of touching/disloding existing grafts. So you could see the grafts taking hold and small stubbly hair, plus weird caked native hair that was a bit long already awkwardly plastered to my scalp. So all in all, a real lovely mess. Now had I managed this aggressively with a blow dryer on cool or if I was more comfortable touching and styling my scalp in this period I am sure I could have made it look better but I didn't want to take any risks. On Day 6 I did a bit of finger styling and with my existing hair I can make it look decent (see 1 of the pictures). Decent is not invisible however. The temples are harder to disguise and any close inspection things are definitely still visible so I feel I am very much still in hat land. To be fair, my wife says it's pretty hard to tell unless you get up close and personal already. We will see if my extended family at Day 11 notices anything. Summary of first week So far the difference from my first procedure has been remarkable. Basically instead of an immediate "oh shit what have I done" I felt more like a "I'm already looking better than I expected 12 hours later. and everything is going exactly like they said" It's nice to already feel like I made the right choice. The recovery seems to be text book according to their expectations, but I most certainly don't want to be out and about without a hat yet as it would be noticeable. The things I am worried about are (a) appearance at 10 days and masking it, (b) avoiding shock-loss as no work was done in the middle of the frontal third, and (c) continued management of the donor scar pain. All the rest is of course the standard, hurry up and wait, concerns about linear scar etc that we all have but if I can avoid shock loss I feel comfortable looking like I did for 6+ more months. I hope this is helpful and of course any feedback on the pics and actual quality of the work is welcome as well. Again, apologies on the photo quality I will get better ones from clinic later. I will try to post periodically as I hate the posts where people disappear but I also intend to try to live my life and not obsess over the progress over the next few months.
  10. Hi Folks, Long time lurker; My very first post here with the intent to share and contribute based on my upcoming surgery in India with Darling buds and most importantly “ My results “ in the next few months. I feel morally obligated to contribute at least something back to this community that offers : A worldwide network of HT experts, reputed Senior members sharing invaluable info, Top rated HT surgeons positioning their point of views and most importantly "real patients sharing real stories". Background Male in mid-thirties from Canada; NW 3 - Less/More. Past 6 years were dark and depressing. Living in a fool’s paradise; using Toppik daily assuming everything’s fine but somewhere at a deeper level; it continuously bothered me. Finally in 2019; I made the big decision to get a HT. This website is the main reason as to why I was able to solidify on my research, move ahead with a concrete decision and was able to find one of the best doctor (just being positive here) as per my checklist/strict criteria. Special thanks to the Creator of this website – Kudos to the brain that kicked off this humanitarian initiative as it continues to educate millions of potential patients like myself. Why Darling Buds India (I guess they changed the name to 5 Rivers Hospital ) This piece takes forever to decide especially for someone like me who spends gazillions of hours on the Internet/YouTube/Forums. I was always skeptical about giving my Head to someone to be operated; so consulted with many Canadian, American, European, Indian and Turkish clinics. Many reputed names like Dr. Rahal ( Known as the hairline king from Canada), Dr Acar ( Cosmedica Turkey), Dr. Erdogan ( Turkey), Aestimed ( Turkey), LA Hair ( USA), Qunomedical ( Belgium & German clinics), Dr. Cinik ( Turkey) and the list goes on……………………………………………. but None fitted my checklist in it's entirety reflecting 8 Key deciding factors that was prepared after extensive research for years 🙄 : 1. Max cost under 10,000 CAD ( 7500 USD ) for 3500-4000 Grafts to be able to achieve maximum density in my case. YES, I decided to find the best treatment within this range. IMHO, paying this much should suffice in getting you a world class, still affordable HT in today’s age with advanced Technologies, Globalization, the power of internet and competitive market. It's costing me around 9000 CAD ( including some expensive flight tickets) with Dr. Bhatti which seems adequate for the reputation he has or rather a steal ( not sure - will tell later) If budget wasn’t a constraint, I would’ve booked Dr. Rahal ( Canada ) who is local to me OR Dr. Baubac ( Alvi Armani USA) more importantly to save myself from the hassle of flying 20 hours one way, then drive to a different city, book a hotel for a week, apply for a visa, Take few weeks of vacation from work etc. Dr Rahal charges 8 CAD per FUE, most other clinics would cost the same in N. America for FUE Treatment. It’s costing me around 2.40 CAD with Dr. Bhatti ( includes all international/ Local flights, Visa, Hotel, Food, Cab etc.). If you compare Dr Bhatti's fee with his peers who fall in the same reputed arena of global doctors, I think most would sign this off as a great offering for hair loss patients globally. Eugenix quoted around 4 CAD per graft but it was for DHI method. They produced some great results lately and they are the inventors of DHI which is now adapted globally; goes to show that they are researchers also - very impressive. As of 2019, I think Dr. Bhatti and Eugenix should be compared as top players if India is the selected destination for your HT Journey ( My comparison below) I almost finalized Eugenix over Dr. Bhatti but then based on my research, took a U Turn : Eugenix positive aspects: 1. Biggest is DHI - OUT/IN grafts within minutes. Definitely better method as compared to Traditional FUE . I could only find positives so far, no negatives on DHI. It's hard to logically beat DHI method with traditional FUE; so no doctor should even try it IMO. I wish Dr Bhatti would offer DHI to his patients by now ☹ 2. Clinics are located in major cities like Delhi and Mumbai. No need to drive / fly again from major airport all the way to Chandigarh. Eugenix Negative aspects: 1. Some patients mentioned that they were taken for a ride. Eugenix Docs prey on foreign nationals; after or during mid surgery – Dr. Bansal asked for 500 more grafts payment as required and payment must be done during the middle of the operation ( insane); also no breakdown/reasoning was provided in the end. On the contrary, Darling buds has returned some fee to few patients to their surprise which is a classy act of ethical business in my opinion (hard to find) 2. Eugenix costs are almost double than Darling buds( quite expensive for many) but anyways DHI is more costlier than traditional FUE globally and if results are better with more graft survival rate, most patients wouldn't mind paying more. 3. Eugenix is run in a satellite office format, more than one location and hard to get a hold of prime doctors - Dr. Sethi and Dr. Bansal where as Dr. Bhatti provides a peace of mind with one location, one clinic, one doctor who is also the owner of that entire facility with 15 good staff members well trained under him in a peaceful non polluted city near a hill station. #3 was a critical factor in my decision to go with Dr. Bhatti In short, I would’ve loved DHI for best results but I settled with FUE for now Note: Out of thousands, This site recommends ONLY 2 surgeons from Turkey, 7 surgeons from India and 1 from Canada ( I was surprised to see only Dr. Rahal in the list, yes Hasson is there but they're again advocates of FUT ), so HRN really helped me short list 10 surgeons before making the final call 2. ONLY FUE for ME – My heart said a Big “No“ to a linear scar; doesn’t matter if some Doctors persuade you with somewhat genuine reasoning's to avoid FUE such as : FUE provides Less density, FUT offers more grafts and saves Donor area as untouched for future sessions, FUE is a blind process etc. Dr. Feller and Dr. Soni ( Medispa India) seems like the two biggest advocates of FUT over FUE and I agree with some of their explanations as it sounds logical. Dr. Soni really pushed me to sign up with FUT and said his scar technique is different. Promised that he will close it in a way where almost no scarring is visible . It was tough buying into that argument, additionally recent negative reviews about him and I finally decided to brush him aside at that point. 3. Doctor MUST perform the operation (No technicians) – I could only find someone as reputed as Dr. Bhatti who performs 80% of the procedures that includes Hair trimming (to feel your hair ), Anesthesia, FUE Extractions with motorized punch and Incisions. In Turkey where I was almost sold at one point, all operations are run by Technicians. Not a Plastic surgeon, no educational background/ competency level ( it's scary as they're known as the butchers of HT industry) I wish Dr. Bhatti would implant the grafts too ( not his nurses) for extra cost but I guess it will be a tedious job for a busy surgeon to sit for another 4 hours or so ....... Am I asking for too much 4. World class facility matching North American standards : with Heart rate monitoring, proper blood tests, blood pressure check up, spotless , Face coverings during entire operation and sterile environment. 5. Super microscopes and Magnifiers is a must ( Most Turkish clinics operate with naked eyes, when I asked they tried to sell me bull *&**** ) This is extremely important during all 4 phases of operation : Extraction – To make sure proper gaps are left in between grafts in the donor area and get the right angle before using the punch. Sorting – To count how many pure singles, doubles, triples and quads ( if any ) are collected. Incisions – To ensure least collateral damage, magnifier will show 6 x scalp surface so during incisions, holes are made at the right angle, depth and only on bald scalp areas ( not where you've some fine hairs). This should also minimize some shock loss in the post op phase. Implantation - Imperative to only use pure singles / baby soft hairs in the very first few rows of hairline and Temples. If by mistake, they implant doubles – it will give a pluggy look and I would rate that transplant as 50% failed right then and there. If during implant, nurses grab a multi - haired graft, at least microscopes will allow them to revisit to find a pure single graft and then insert it in the right spot. Joe Tillman's video is quite helpful : https://www.youtube.com/watch?v=MeQ4ZvEHb7Y 6. Doctor should have a solid reputation on major forums, hair restoration network, should be well read, traveled, have some global exposure, recommended by Bald-truth, Spex and many other HT mentors like Joe Tillman. Dr. Bhatti checks all those boxes. Yes – there are some mixed opinions about him (and every other Top HT surgeon out there) but perfection is impossible to achieve; so I decided to just look at the bigger picture and go for it. 7. Detailed info, pre op care, post op care, regular contacts and supporting your patients in their hours of greatest needs is of utmost importance. Its well know that Dr. Bhatti, Shera ( his rep) , California would contact their ex. Patients regarding some concerns, would stand by them and not disappear. This was impressive. 8. Patient advisor should be genuine, honest and straightforward – So far, Shera has been awesome, friendly and taking care of all my minor/ major concerns. Always reachable, quick responses and a real time patient who has experienced the same Doctor few years ago first hand. In the long run, it helps to have a contact like him for small chats if need be. I will continue to share my Journey with Darling buds and also, highlight If any red flags are there. So far, I’m just one naive internet researcher in this field who talks based on theories and hypothetical situations, I don’t have any practical experiences yet. Assuming I've made a good decision by choosing this clinic (over others) and trying to keep a positive mindset hoping I will be in good hands is the only thing I can do now. One Sr. Member said it wisely – “For Dr. Bhatti and his staff ( or other clinics) 18th March will be just another day with another patient like thousands came before and will come after, but for a patient who’s been researching on this constantly day/night, it’s a big life event and 18th is one of the most important day of his life after which either he could regain his lost confidence or could loose it forever “ After all, handing off your head to someone for the entire day isn’t one easy decision I’ve seen members here supporting each other against doctors if results aren’t satisfactory. That speaks volumes and the main reason as to why I joined here to gain support from my so called “Anonymous hair restoration family” Dr. Bhatti's hairlines were talked about – not too dense? Any suggestions? Should I revisit this with him ? I don't want a sparse hairline but Not sure if this was an old issue (one -off) Also, I’ve not met Dr Bhatti for any F2F consulting yet or a video consultation, plan is to meet him a day before my procedure. So far, Shera is my driving force. I’m hoping for a life changing experience (like many others), regain my lost confidence and I always say “ Hope “ is something that brings us to these Doctor’s doorsteps. Yes finance and reviews are important aspects but we all hope to be treated in the best possible way during our special treatment day. A little daunting for me to fly all the way, get operated in a surgical room, holes in my head but I’m collecting all the courage in this world to get this done. Shera is helping like one true Samaritan If some of you are able to read this completely, my apologies for such a long note but this is the only forum where I am able to write everything anonymously and vent out if need be. My Journey to be continued……………………………………………………………………………………............................................
  11. Hey everyone, I'm about two days out from my ~2300 graft FUT procedure with Dr. Konior. As often happens with Konior, he initially quoted me 1500 grafts but wound up going all the way up to 2300 to pack everything in more densely. It was one of the smoothest and most painless medical experiences of my life, and the whole thing took about 12 hours. I'd take a hair transplant over getting cavities filled at the dentist any day. I'd like to start by thanking the past Konior patients who have documented their procedures so thoroughly. Spanker, Reyes1, SamSpade, and the various Matts (among others) posted incredibly detailed threads that helped make my choice of surgeon very easy. I hope that I can continue in their tradition with another well documented write-up. Pre Surgery I was 28 and probably a NW2.5 or 3 prior to this surgery, and my main goal was to restore my receded hairline and fill in the temples. I've been on finasteride and minoxidil for several years and they've definitely slowed things down, but there are a few spots that have slowly continued to thin (including in back...but it looks worse in one of the below photos than it really is). I plan to continue both meds for the rest of my life, and will likely have additional "tune up" surgeries down the line to maintain what I have. Dr. Konior actually suggested a low dose pill version of minoxidil for those who find the application of Rogaine to be tedious (I only apply the foam once per night because it's such a pain in the ass). I spent months reading about hair transplants and researching doctors until I finally narrowed it down to Konior, Rahal, and Hasson (I had already decided to stay within North America). There's no question that all three are hairline masters, but there were a few things that stood out about Konior that steered me in his direction: 1. His relative conservatism and focus on long term strategy would be a great check on my own desire to be as aggressive as possible. 2. If you look at his cases, it's pretty clear that he is often able to do with 1500 grafts what most surgeons need 2500 or even 3000 grafts to achieve. Konior's ability to make every graft count really speaks to his artistry and perfectionism, which is of course another big advantage for young patients like me who need to use every single graft very judiciously. 3. He performs one surgery a day and as others have pointed out, does virtually the entire surgery himself -- donor extraction, lateral slit incisions, and graft placement. I do think one or two of his techs placed some of the grafts, but he supervised them meticulously and I overheard him tweaking anything that didn't look perfect. This isn't to say that technician-heavy clinics are inherently flawed -- many techs at other clinics have years of experience and are truly skilled workers -- but ultimately, I felt that a tech-heavy approach would add another level of risk that I'd prefer to do without. 4. Konior's year long wait list and relatively high price speak volumes, especially since he does minimal marketing and is pretty selective when taking on new patients. These things may seem like "cons" at first glance, but over time I came to see them as major "pros." A hair transplant is something that will affect your appearance for the rest of your life, and I knew that 10, 20, or 30 years from now I'd care a lot more about having picked the right hairline than saving a few thousand dollars. More often than not, you get what you pay for -- and plastic surgery is not an industry where you want to look for a bargain. 5. Konior's immediate post op photos have a really clean and distinctive look, with very little blood compared to most other surgeons' graft zones after surgery. I've always found it very satisfying to look at his post op photos and notice the precision of the graft angles and placement. The Surgery One thing that isn't often discussed on here is the feeling of oh shit that kicks in as your surgery date approaches. As soon as I realized my surgery was a month away, the reality of the situation hit me hard: was I seriously about to fly to Chicago and undergo surgery just to give myself better hair? Eventually the excitement started to outweigh the fear, but it was for sure an emotional rollercoaster until I finally arrived at Konior's office at 6:30 AM. Once I checked in with the doctor's staff, I finished my paperwork and wrote down my lunch order. Everyone was very kind and conscientious, and at around 7 the doctor came in to discuss the surgical plan. As Dr. Konior and I settled into our initial conversation, I immediately felt my anxiety begin to fade. He really took his time to discuss his hair loss philosophy, crack a few jokes, and field a few questions that I had. He seemed totally relaxed and in no hurry to push things along, and by the time we moved on to drawing the hairline I felt totally at ease. Helping a patient feel comfortable during that first meeting is a genuine, underrated skill and it really helped to set the tone for the entire day. He then had me draw my version of a hairline -- I wanted it lowered just a bit with my temples filled in, and I asked him to pack it as "densely as he thought would be ethical". Konior took one look at the hairline I drew and said something like, "yep, I know what you want" as though he'd seen it a million times before. He then spent about 45 minutes drawing his own version of the hairline, erasing and re-drawing parts of it over and over again until he thought it was perfect. He took pictures from several different angles while doing so, and every now and then he'd pause to stare at my hairline the way a painter looks at his work while trying to get those last brush strokes just right. It was easy to see how Konior's artistry and surgical precision are a super effective combination. When the doctor handed me a mirror to look at his proposed hairline, I was ecstatic (the hairline he drew is visible in the pics I've attached). I had worried that he'd push for something more conservative, but what he drew turned out to be pretty much exactly what I'd hoped for. So I basically told him I wouldn't change a thing and the process continued. I felt even more relief when I learned that he would only have to shave a small portion of my existing hair to create the new hairline. I've seen a lot of Konior cases where patients went for the full shave, and I really hoped I wouldn't have to go down that route and thus experience a much longer "ugly duckling" phase. When he wound up just shaving a few useless miniaturized hairs in front, I felt pretty confident that in another week or two I'd be able to cover up the work without wearing a hat. As someone who wanted to get back to work and my social life as soon as possible, this was a HUGE weight off my shoulders. With my last major fear assuaged, I was genuinely excited to get started. They gave me some valium and had me lay face down while the doctor got ready to remove the strip. I have a pretty low pain tolerance and a very strong fear of needles, but I have to say that the numbing shots were the least painful shots I have ever experienced. They used some sort of vibrating device on my skin next to the injections, which made the actual shots feel like nothing. I barely noticed when the strip actually came out, and then they gave me a bathroom break and got ready to start the incisions. I was given more valium throughout the day and for the most part I felt restful but awake. I dozed off a couple times and woke back up mid-snore, but for the most part I just chilled out and focused on staying perfectly still while Konior and his techs did their thing. Occasionally I'd feel some soreness in back and they'd have to re-numb me -- the re-numbing shots were actually a little more painful, but that's probably because I waited too long to ask for them (the doctor was really in the zone so I was hesitant to interrupt). As mentioned earlier, he did have two techs present during graft placement but I'm pretty sure he placed most of them himself while the techs would pass him the grafts that had been dissected. It definitely sounded like he placed the most important grafts himself, such as the 1s along the hairline. At around 6:30 PM, the surgery was finally complete. Konior and his team put in roughly a 12 hour day in total: 2 hours of conversation and planning the hairline, followed by 10 hours of performing the surgery itself. Compared to what I was expecting, the entire day felt like a series of best case scenarios -- I got exactly the hairline I wanted, felt close to no pain whatsoever, and was able to keep enough existing hair to (hopefully) cover up the procedure after another week or two. Konior's staff was nice enough to give me a ride to the Comfort Suites that evening, which I really appreciated because I was not looking forward to interacting with strangers in my post surgical state. In fact, I didn't end up having to interact with anyone -- the Comfort Suites have a back entrance you can open with your room key, and my room was right next to the back door. So yet another small anxiety was eliminated. I don't think I could have asked for a better experience. Immediate post op pics are below (I circled a small mole in the final pic for added perspective):
  12. This Vancouver-area patient in his mid-30’s came to Hasson & Wong in order to address his thinning hairline and frontal zone. Dr. Hasson and his team successfully harvested 3,000 grafts during a single FUE procedure to rebuild a new hairline and add density to the frontal zone. 300 of these grafts were singles, 1357 were doubles and 1343 were 3-4 hair grafts. His donor density was good and hair texture about average. These photos were taken approximately 13 months post-op.
  13. Hi all, I've posted a couple of times on here previously. My story briefly is as follows: I'm in my early thirties, and have been noticeably losing my hair since around 2006 (so 10-11years), with the most rapid loss between 2012 and 2014. My father is a NW5 slowly progressing to a 6 (but he is 70!), I'm probably a NW5 too at present but progressing towards an NW6. My maternal grandfather had a full head of hair (maybe a NW2 or NW3 at worst), my paternal grandfather didn't (probably a NW6). Despite noticing my hair loss for the past decade or so, I haven't really taken any action. In 2011 I trialled minoxidil for 6 months, however stopped taking it after this time due to palpitations. It worked well, I noticed new hairs forming (in my hairline), however after I stopped taking it I noticed dramatic loss in a couple months or so (hence my worse loss probably being around 2012-2013). I never tried finasteride; I know, people are going to say; "why not?" or "just give it a try!". It's purely a personal decision; I do not wish to undergo any of those side effects nor have to take a pill for the rest of my life. If this stops me from getting a great result, then so be it. However, I am perhaps willing to try 1mg of Propecia 3x/week; that way it would be much cheaper and also I would hopefully at less risk of sides (it’s not just the sexual ones which concern me, I have a very high functioning job, and need to be on my A game all day; I don’t want the cognition side effects either). Anyways, I decided I would probably need multiple HT in 2013 and enquired at H&W with David Anderson. He was very amicable and he followed me up until 2016 when he left. I actually booked a 4500+ FUT megasession with Dr. Hasson, however unfortunately I had to cancel this due to no longer being available at the dates I had booked (as I would have to fly to Canada and back this was not possible in the short amount of time I had off). I was also uneasy about undergoing FUT due to the scar. I have already told myself as a last resort that if my hair gets really bad I will just have to keep it really short or buzzcut it, this would not be possible with FUT (and is just about a possible with FUE); I understand that FUE leaves scars too, don’t worry. They were very kind and considerate about all this and I thank them and their whole team for their professionalism. For sure if I needed a FUT they would be the first point of call; I had been researching for the last 5 years or so, and they definitely seemed the top. I then went researching for a surgeon who did FUE who was close by but affordable. My research brought up several familiar names: Lorenzo, Bisanga, Lupanzula and Erdogan. These (location wise) would all be feasible in my very limited time off and all their work shows great skill. However Lorenzo never replied to my emails until several months later and I decided I didn't want to fly in the end so ruled Spain (& Lorenzo out) and Turkey out and thus Erdogan. This left both Lupanzula and Bisanga as my top choices, they both had my dates available, and if I am correct Lupanzula worked previously with Bisanga? I was able to consult with Dr. Lupanzula over Skype however unfortunately logistically I was unable to meet him, however I was able to actually meet Dr. Bisanga in person and this definitely swung it for me. He was very amicable, and has many have commented he doesn't promise you the world, he is very realistic, conservative (the good kind!), honest and ethical. We decided that 3000-3500 grafts would be most appropriate with them concentrating on rebuilding the hairline and the frontal third. As you can see from my photos, the crown is also very bare, but I will have to therefore have another HT to potentially sort this out in the near future ± try propecia 3x a week. I was classed as a NW4V although I feel my hair is worse than that; it was probably made difficult for the doctor as I had my hair very short at the time of the consultation. In my eyes, hairline > crown coverage due to framing of the face.etc. My hair is quite thin, and my head is quite large, therefore I am not sure what sort of coverage I would need to get a good result, but thankfully my donor density was rated as decent with 80FU/cm2 all around. So, tomorrow I will have the first session of 3000-3500 grafts and then revisit my hair in 2 years time to either work further on the front, midscalp or deal with the vertex; depending on how much reserve I have. I’ll try to keep updated! Photos below are from January time; I can update with clinic photos tomorrow.
  14. Day 1. Hi everyone, I finally did it. After contemplating for many years at he age of 19, and now at the age of 32, i finally saved up enough $$ to get a hair transplant. I went with Dr. Hasson as my first consultation and it went really well as he's very personable, and wants you to look like a rockstar. And of course because he's local. I originally was planning on going with Dr. Diep, however that didn't go to plan and I'm truly glad i went with Dr. Hasson instead. Anyways, I had procedure for 3000 grafts to be implanted, it took all day from 7am to 9pm to finish. A lot of bathroom breaks and they offer a huge selection of meals to pick from 3 different restaurants nearby, which i wasn't' expecting. Dr. Hasson also consulted with me with hairline and i always had a big forehead so i wanted it lowered a bit to fit my face more naturally and have more hair dense altogether. Once that was done, the nurses prepped me up and did the extraction and then Dr. Hasson came into work on me and design and then a second pair of nurses assisted the implant. He always checked up on me once or twice and was getting me more stoked about people's results as he was showing me a previous patient who had came in after 9 months to take pics of his results and it was amazing to see their before after live. In in the end I was pleased with procedure, and i can't wait to see what i look like going forward. Below are two pics: the left is after coming home the night of the transplant and the right is how my M shape hairline was before taken in the car ride to the clinic. You can't really see the hairline difference yet, hopefully it'll turn out like a rockstar. Anyways, enjoy, let me know if you have any questions. P.S. Going home was painful but the pain killers help.
  15. Well, I'm not thinking that when I post but maybe an "unintended" consequence? 😁 Yes, his post here: no thx hairlossPA! I'm glad you asked, it is better to ask for confirmation than to assume what you read here is always correct. Where did you read that? Maybe you could direct me to the thread, I’m curious to see it. No I can’t confirm is it is true because it’s not. 😃 None of our staff were trained elsewhere. Unless, you consider doctors Hasson and Wong working alongside another doctor in the 1990's as such. What I can confirm is that on our journey to produce industry leading FUE results equal to if not better than our famous FUT results, we gathered a lot of information and data. While it is true our doctor/doctors and some select team members traveled to conferences and observed the various techniques and skills of a few prominent FUE surgeons and clinics, no training on any of our staff was performed, only observation. After all of the data was gathered, we brought home this collection of new found knowledge and developed our own FUE philosophies and techniques that we felt would produce the best results. Some doctors were more influential and maintain a closer relationship with some members of our staff. I would say doctors Devroye and Lorenzo fit that description. That is not to say some others such as Dr. Koray were not gracious and welcoming, but they had little or no influence on what we do today. Some deserved credit to the aforementioned Dr. Devroye and Lorenzo for which we are grateful but most of the credit would go to our doctors and the dedication of certain key staff members willing to research, study, practice and make the necessary commitment to prefect our FUE technique and make it their own. We would only proceed with offering FUE when we could produce FUE grafts equal to or greater than the quality of our FUT grafts. Now you just don't wake up one day and say you want to perform industry leading FUE. The extraction is only part of the equation and the years of experience with FUT play a prominent role. This case is an excellent example. How did this result turn out to be so good? Well, aside from being able to harvest perfect grafts via FUE which we will assume is a given at our clinic, the proof is in the post-op photos. Has anyone marveled at how good they are and what they reveal? Precise control of angle, direction and orientation of the transplanted grafts. Every hair lines up parallel with the others. High uniform density. Look closely at other post-op shots ( if anyone will show this clarity) and compare. You may look long and wide to try and find a replica elsewhere. Do you think some clinics don’t have the right camera to take clear close-up shots that have this detail? Or, would this type of transparency and compare expose the fact that the level of refinement is quite different? You decide. Besides the unquestioned skill of the surgeon and staff, technique, attention to the finest detail and artistry are all necessary in producing this kind of result. Let's also give credit to the lateral slit (inventor Dr. Wong) and the custom sized blade cutting device ( inventor Dr. Hasson). And hairline design you say? Very important, as always and thank you for recognizing it! I think hairline design can often be an overlooked component. Without a great design, the result will suffer no matter how good the grafts are and how well they are planted. And thank you to all who care to take notice all of these components that are necessary to produce the best result! Thank you for the comment and question MarkyH!
  16. 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
  17. After going to great lengths to cosmetically conceal my hair loss, I've began to seriously look at HT's. I wanted to consult with the forum here to see what is realistically possible for high Norwood cases. I've been letting hair loss really get me down and I would be happy with even moderate coverage to use hair fibers with. NW6 - Pics included in a prior thread. Standard NW6 pattern but I have many miniaturized hairs on my crown. I'm managing my expectations of what I could realistically expect even with maxing out my donor. My donor hair is somewhere between thick and fine and hard to categorize. It is curly when grown out. I have never taken medication for hair loss. I'm not entirely sure what Fin, Min, etc. could even do for me as I have been bald for 6+ years. I would of course be open to starting Fin, Min, etc. prior / following a HT at the request of the Dr and would include supplemental things like Dermarolling and Nizirol Shampoo, etc. as well. It appears that for advanced hair loss, that FUT is the preferred method for the initial transplant, followed by FUE down the line. With that being said, I am looking primarily at clinics in Turkey due to my budget. It appears that all perform only FUE. The FUT scar doesn't bother me as I've never cut my hair short. On the opposite end, I would be open to having a large FUE to achieve moderate density all over, and have SMP after for a density fill in. Questions: Could I achieve identical results with a large session FUE? (5,000+ grafts) as opposed to FUT? Ideally, I'd love to have a large FUT performed by Hasson & Wong for optimal results, but they are a bit outside of my budget! What clinics in Turkey are the best for transformative cases? I've seen some promising results from Erdogan, Eugenix, and Dr. Cinik on the forum, but wasn't sure if there was a general consensus.
  18. This patient in his mid-20’s came up from Seattle looking to restore his receding hairline and thinning frontal zone. He started noticing his hairline was getting weak at a relatively young age (18-19). His hair loss progressed fairly quickly and he felt it was time to address it. He had good donor hair with texture on the coarse side. While a candidate for either method, FUE was the decided choice. Dr. Hasson and his team successfully harvested 2508 grafts during a one day FUE procedure to rebuild his hairline and address the necessary areas of the frontal zone. 301 of these grafts were singles, 1522 were doubles and 685 were 3-4-hair grafts. These photos were taken approximately 13 months post-op.
  19. Hasson and Wong are fantastic at FUE take a look at @SprayPaint his results are absolutely remarkable and also @Legend007 As for Dr. Baubac, I really can't say anything about him, as I don't know his work personally. Some other posters have brought up some concerns, you may want to look in to it a bit further.
  20. This patient in his mid-20’s from the UK had researched enough to know he needed to make a trip across the pond to have Hasson and Wong address his receding hairline and thinning frontal zone. He had good donor hair on the finer side with above-average scalp laxity and decided on FUT as his extraction method of choice. Dr. Hasson and his team successfully harvested 3898 grafts during a single session. These grafts were used to rebuild a new lower hairline and address the necessary areas of the frontal zone. 1040 of these grafts were singles, 2737 were doubles and 121 were 3-4-hair grafts. These photographs were taken approximately 3 years post-op.
  21. Thank you for putting things in perspective again, truly appreciate your perspective here, I am not doing anything rash, all in all things still look good and I will certainly approach visit with Dr. Rahal with an open mind. I am trying to be a bit wise here and think about my appearance from a long term perspective, to try and put things in perspective for you guys, i did not get a huge amount of grafs (less than 2k), so at this point I would like to remove the thick spaced out hairs that are at the very front that are not too too far away from my real hair line anyways ONLY IF there is no downside to this procedure, I am also trying to book with Hasson and Wong for a consultation to get a second opinion.
  22. Thanks for the comments guys! Yes, see below. Thanks yesplease, I agree that the hairline and frontal zone look great! To expand on the mid-scalp comment: The mid-scalp was not addressed in the procedure and yes, he is combing the hair strategically to achieve the best coverage. He started medication shortly after his procedure. The agreed up plan was to restore the frontal zone and see how much meds could improve the mid-scalp and crown. Dr. Hasson noted he did see improvement at the time these photos were taken and the patient will continue the medication to see what degree of improvement continues. He will reevaluate at some stage and if the improvement is not sufficient enough to make him happy, he will have the option to add some density to the mid-scalp where necessary with a smaller 2nd session. I think it is always best to style the hair in such a manner that will provide the best cosmetic benefit. I’ve seen some patients part, comb or style the hair in an unflattering manner which actually does a disservice to their appearance versus what the proper style would do for their look. It is a personal call of course but I will interject in some cases where I feel the hair styling police is needed 😊 . This patient has chosen to style his hair in the most flattering manor to hide some slight mid-scalp weakness. If he wants bulletproof, we can do that too😊
  23. I think it looks good, there’s also still plenty of time to mature. In the event, you’re not satisfied I’m sure Dr. Hasson will back you up. I think you’ll be happy though, man I would with your hair 😜
  24. I’m really having a tough time deciding. Hasson and Wong responded and said 2k fue which means $16k. They also said I could do fut which would be $10k. Flight would be around $400. Dr. Keser said 1k fue which means $3.5k +$1k (flight) = $4.5k Dr. Bloxham suggested around 1k fut 1,100-1,250: $8,250 1,300-1,500: $8,800 1,600-1,750: $9,750 2,000-2,250: $10,750 those are his prices about the same as Hassan and Wong for fut. no flight for him since I’m 30min away.
  25. I recently had a skype interview with Dr. Wong. Nice guy, made me feel at ease, said all the right things. I felt comfortable with him, and am pretty close to booking a procedure with him. I recently googled H & W, and quite a few horror stories online. Stories about patients being double booked, surgeons disappearing during procedures, aggressive sales tactics. This is my second, and most probably, last procedure. Not sure if i will recover if i botch this by selecting the wrong surgeon. Been there, done that. I need some advice from all the wonderful people here. How are Hasson and Wong viewed in the hair transplant community? Am i in good hands? Should i stick to someone in the States? Thanks. Really counting on some feedback.
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