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  1. 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.
  2. 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.
  3. 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):
  4. This Vancouver area patient in his mid-40’s came to Hasson and Wong looking to address his thinning and receded front, sides and top. He had average donor hair with texture on the fine side. Dr. Hasson and his team transplanted 4303 grafts during a two-day FUE procedure to rebuild a new hairline, frontal zone and temples/temple points while also increasing the density in the mid-scalp. 400 were single-hair grafts and 3903 were doubles. These photos were taken at the clinic approximately 9 months post-op
  5. Hey guys I’m going to share my experience with you all cause for the last 6 months I’ve read into these threads and this is what incouraged me to ultimately go with Dr. Hasson and do the surgury. I’ve been struggling with hair lose since my early 20s and have been wearing a hat for 99% of the time. Only time I would take a hat off is at home or at a wedding literally. It really was driving me bonkers.So I flew into Vancouver from edmonton and went for it yesterday, I did the surgury. Mornig of the surgury I was greeted by the girls and and was told to change into the shirt they provide. Then we went into the OR room with . Dr. Hasson he’s funny and helps you not worry too much. Dr. Hasson gave me the needles so I wouldn’t feel anything you feel them but it’s what is expected. He then started with the strip. As he takes the strip out he is closing it up at the same time. Took about 45 min no big deal. After that he got right into the incisions. I clicked every 100 and we got to 3500. For the next 8 hours it was implanting time as 2 girls work on me and 2 more work on removing the hairs out of the strip. We had breaks for lunch and supper they give you a menu and you pick whatever. I watched tv and talked with the nurses all very nice. The chair starts to get uncomfortable as you could imagine for moving for 12 hours laid back in the chair. After the top 3500 was done Dr. Hasson came back in and started on my temples he did about 250 each side. By this time it was about 10 hours in. The girls started to implant on the temples and that took another 2 hours. Then whatever grafts were left over they doubled up on the top. After we were all done I came back to the hotel took my pain medication and sleeping pill and crashed hard. Had a good sleep now I’m sitting in my hotel room having breakfast. Highly recommend Dr. Hasson great guy and awesome clinic. Let me know what ya guys think I’m thinking I’m gonna get great results!!!!! And don’t worry I’ll update everyone all the time of progress so hopefully I can help other people that were in my case!!! I know how it is . Cheers
  6. 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.
  7. 1.5 to 2. If I am not wrong in the past dr. Hasson was taking himself 2.5 mg per day and his ex advisor, Joe, had some improvements raising the dose. But please remember Finasteride is a pharmaceutical, a doctor must check the patient and prescribe the right dosage.
  8. You’ve been given some great names. I’ll add hasson and wong, Dr. Gabel, Dr. Mohebi, Dr. Bloxham is in NY so definitely worth a visit. Most definitely True&Dorin as well. If I’m not mistaken the place you went to in Long Island had a sanitation worker performing surgery- this is why our community is so important. If you have any questions feel free to pm me anytime. Glad you found us were here to help. https://www.google.com/amp/s/www.nydailynews.com/news/hair-raising-tale-deceit-article-1.176678%3foutputType=amp
  9. Dr.Hasson, Dr.Carlos Wesley & Dr.Konior - the current three posting the best "homerun" results in North America from what I can see of recent clinic and patient own postings. Dr.Rahal was in the mix previously for FUT but something seems slightly amiss about the feedback from Rahal recently. For large strip mega-sessions of 5,000 grafts or more like you'd need - I think Dr.Hasson seems to be a leader in this space in both grabbing as much hair in one session as possible and leaving a great scar. In Europe Hattigen Hair seem to be doing very big FUT cases too.
  10. Hair looks great and natural and Dr.Hasson did a great job on the front. Have you tried topical Fin??? - H&W are doing this now for Canadian patients and it seems to have all the benefits of oral fin with none/infinitely lower probabilty of sides (as it goes less systematic than oral fin). I'm presuming you got off Fin because of side issues? Perhaps trying this for a while could be an option to recover crown. Topical Fin is available in Europe from compounding pharmacies in Milan etc.. The full science isn't out yet on it but anecdotally clinics that have partnered with compounding pharmacies are seeing excellent efficacy in patients for which oral fin has presented a problem. Given emerging NW5 / 6 pattern. My gut for you would be to max out FUT for any further work, start scalp laxity exercises NOW and your FUT2 scar should be the same as you have now - FUT is obviously cheaper with poorer recovery time but it is undoubtedly the most conservative approach and leaves you in better shape for anything up the road that might be required which could be done with FUT/FUE. Not much has changed since 2010 and Dr.Hasson is STILL in the global ELITE doctor category - you know Top 3 or wherever you want to draw the line. If i was you I wouldn't be thinking of going anywhere else but back to that clinic. Like others have said Dr.Wong is the king of crowns so some combo of Hasson/Wong will be great.
  11. 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.
  12. 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.
  13. You've been given great names. I would take a look at Hasson and Wong, Dr. Gabel, Dr. Diep, Dr. Mohebi. That said, Dr. Shapiro is an excellent choice.
  14. Been following the latest comments. Some interesting views. I am by no means an expert, but have followed this field for a few years and done quite a bit of research. My thoughts: I had an FUE with ASMED (1200 grafts) 3 years ago to correct an uneven hairline. Thankfully I do not really have much hair loss, it was more of a vanity thing. Regardless, the procedure went well, I had basically 100% yield, but there were some artistry issues that I noticed about 12-18mo later. Multi-hair grafts in hairline, lower density in some places. I ended up getting a very small procedure (400 grafts) with a very well-known Dr. in Atlanta. Would've gotten more but it was cost-prohibitive for me at the time. I have mixed views on ASMED. They have been around for a while and have put out a lot of good results. Recently though, as many of us know, there have been some issues with a few cases. I won't comment on why (I don't know for sure) but I do remember not being too impressed by the extremely limited interaction with Erdogan and the questionable tech teams. I decided it would no longer be on my list for any future procedures. I was very impressed and happy with my experience with the Dr. in Atlanta. I started looking for a Dr. for my second procedure to fully perfect my first one. Hair stable, on Fin 1mg/day for 1 year with no sides. I researched heavily H&W and also Konior. I even had a procedure date with H&W before I started second-guessing myself. Nobody is saying H&W isn't a top tier clinic. Let's be cognizant of personal bias. We all have it towards things we feel strongly about, myself included. I think H&W (Hasson specifically, since he was going to be my doc) are outstanding; long list of consistent results. There are also a lot of other equal-caliber docs. H&W obviously has a strong patient outreach/marketing engine, good patient coordinators, etc. Ultimately, I decided to not go with H&W because I found Konior and I felt that his style was more suitable for my particular needs since I was needing a very small session. I chose Konior based on my interactions with him. Direct patient-doctor interaction. He personally emailed me back on multiple occasions and it was clear this man was an extremely meticulous and thoughtful doctor. Is Hasson as well? I would assume so, but I never spoke to him. I heard nothing but good things about him, too. Another reason I chose Konior is because of his stick-and-place approach. Making incisions and immediately placing grafts allows the surgeon to make smaller incisions in the first place; since skin is elastic, incisions almost immediately start closing up, so if you make several thousand incisions before placing grafts you naturally have to make bigger incisions to account for that. I'm not a surgeon and I don't know if I explained that correctly, but you guys can definitely do some reading to find out more. In the end, the stick-and-place approach often leads to much cleaner looking recipient areas and less redness. Take a look at Konior immediate post-op pics and compare them to other methods, you'll see what I mean. That was another reason. The third main reason I decided to go with Konior is because he performs the entire procedure, and based on my research, he is a perfectionist. He has assistants, but he performs the vast majority of the entire procedure which includes extractions. After not being impressed with the tech aspect of the procedure and feeling like I paid for the techs and not the doctor, I'm more than willing to pay more for a doctor-centric approach. Last reason, Konior works on one patient a day. Another reason. I am unsure if H&W operates that way. This post wasn't supposed to argue that Konior is a better surgeon than Hasson (it's not what I'm saying) but I am certain that in MY specific case, Konior is the way to go.
  15. I am considering have a FUE done, potentially with Dr. Hasson. One of my main concerns is what happens if I have to stop Finasterid for whatever reason after a FUE. Which would cause the rest of my hair to fall out presumably. The transplanted hair would stay of course (I think?) But that wouldn't do me any good of course since I'd still have a bald head in most places. So if I had to shave then, would that be possible at all? Or would you see scars from where the grafts were taken or implanted? Has anyone here had to stop Fin after a FUE transplant? What do you do?
  16. Vancouver area patient in his early 40’s. Above average donor hair, fine to medium in texture. Dr. Hasson and team transplanted 7410 grafts front to crown via FUT. 2094 were single hair grafts, 4955 were doubles and 361 were 3-4 hair grafts. These photos were taken 1-year post-op.
  17. Hello Everyone, Many of you may know me formerly as 'literalno'. I want to preface by saying that username was made in complete negativity before I knew anything about hair transplants and what they can do for people. I was aimlessly searching for answers to my fears associated with propecia and stumbled across a particularly unsightly before/after ultimately assuaging me from ever becoming one of "those hair transplant guys"; hence literal(ly)no(never). I decided to make this thread around the 6 month mark ( I am now a little closer to 7) to promote good vibes for the second leg of the process since I am quite frankly not at my end goal, but very optimistic for what should be the most productive leg of this often tumultuous journey. Much of my skepticism stems from how my hairloss occurred in the first place, and the measures I have taken thus far to fix it. It started very suddenly a few years ago during a rough time in my life. I was going through a tough period and the stress seemed to spur its onset seemingly overnight. I knew what had happened, but everyone around me obviously assured me "its all in your head" (yeah right). About two years ago I was at my wits end before coming across Dr. Amaya Prasad's "Hair Regeneration" treatment in New York (this guys should honestly be put in jail for making these claims, complete snake oil). This miracle injection featured A Cell AND PRP (WOW) as he claimed it halted and in some cases reversed hairloss all together. I was sold and flew to New York within a month, paid the $15 000 up front, got the injection, and slowly but surely thinned some more only this time more rapidly. By a few months time, I knew it was failure and I needed to try something else. Next thing I know I'm on a plane to Boston getting A Cell + Adipose Derived Stem Cells injected into my scalp (I have the lipo scars to prove it) and finally my hair would be saved. Of course, this was not the case, however the only saving grace was that the Dr. in Boston kept recommending finasteride. It took my a few more months to finally bite the bullet and get on the drug. Been on it for about 2 years, with a brief stint of Dutasteride until my doctor felt uneasy about that one, and I halted everything to a snails pace at long last. Of course after all of these experiences with Dr's who "have my best interest in mind", I remain skeptical of everyone and everything until I am proven otherwise (on my own scalp that is). Finally deciding to get a hair transplant was not a task I took lightly. I got to the same point as everyone on this forum does, an inflection point where you choose to suffer and wear hats 24/7, or take a step towards fixing the situation as scary as it may seem. I researched thoroughly for about a year, combing through result after result, and was conflicted between Hasson and Wong and RAHAL. I was able to meet three Rahal patients before my surgery, and the results spoke for themselves. There was also one bad H and W result floating around that ultimately confirmed my choice, and I chose Rahal and FUT to maximize my yield since I am young and want to conserve as many grafts as possible. I was assured during consultation by Sita, some of you may know here here, that Dr. Rahal has close to 100% yield and I believed (and still believe) her words. I don't want to go into details about the surgery itself as I plan to do a big one year post to look back on the last year, I hope in fondness. There's really no point in delving too deep into the minutia of anything until at least that date. It could have been the best time of life or not but that doesn't change the only thing that matters: the end results. I would like to bring attention to a few concerns I've had along the way in hopes of getting some feedback from members who I'm sure have shared my sentiments at some point. I was grafted at approximately 40 grafts/cm squared (roughly 70+ hairs per cm). In my opinion, this would provide me with the coverage I am after, however after my 10 hour surgery, Dr. Rahal did mention it may look thin in some instances. Though I appreciate the honesty, it did get my mind spinning especially after what I had just endured moments before. I reached out to Dr. Nadimi at around 3 months to get her opinion on what that may look like, and her feelings were quite the contrary as she assured me that in the area I showed her, 3000+ grafts would indeed provide a pretty dense result. This may simply be a difference in opinion between the two doctors, but of course contrary information leads the mind to wander. Does anyone know or have a result similar to 40 grafts/cm and like to comment on how that appears in person? I would like point out that my reaching out to Dr. Nadimi is in no way a slight to my trust in Dr. Rahal. I would not have gone to any clinic if I did not have the utmost conviction in their ability to produce a good result. It is merely me as a patient seeking a second opinion on a matter that concerns me, and that's it. In now way does it reflect any negative connotation towards Dr. Rahal and the credibility of the clinic. Unlike many threads I've looked at, my grafts were very scabbed over within 5-7 days of my surgery. Many of the hairs had definitely released themselves from their respective follicle at that point, so I never really got to see a 'buzzcut' representation of what I should expect before the shedding phase as is common among this forum, particularly with Asmed patients. Having not seen too many similar examples, I questioned whether those grafts has survived or not, but have been assured that there is no real way to know until the final result. I've read from a few different doctors online that the visual presence of grafts in the scalp about a week after surgery is a sign they have survived, so naturally it has been on my mind somewhat. My surgery took just over 10 hours. After the surgery, the clinic's lead technician Mike commented on the procedure was like placing "9000 grafts instead of 3000" because my skin was quite slippery and as a graft was placed, the adjacent grafts would slip out. Dr. Rahal has himself said this may slightly affect yield, but other Dr.s on realself say they have never heard of this phenomenon and attribute that to poor skill of implanters. Of course, I know this is not the case at a clinic with the reputation of RAHAL, but would like to know if other patients have experienced a similar thing and how everything turned out for them? Lastly, at approximately 1month post op, I went into the clinic (I live in Ottawa) to see if Larissa (my patient advisor) could try and apply some topik to the persisting redness of my scalp as I had a few job interviews coming up (for anyone in a similar position, the redness went completely unnoticeable and was not a factorv whatseover). The topik looked absolutely ridiculous and I wanted to rub it off almost right away. She proceeded to use an alcohol wipe to hasten the process, but her rubbing was very hard and did hurt my scalp quite a lot. Obviously after looking after transplanted area with extreme care for the previous month, being SUPER, SUPER gentle the entire time, I was very concerned with whether the pain and tingling I felt would affect the grafts. I've read many times before the clinics such as Asmed and Lorenzo say not to even use clippers for the first 6 months as it could damage the area, but I'm not sure how necessary that really is. Larissa and Dr. Rahal assured me that the grafts were deep within the skin and could not be harmed, but I'm sure you can agree that any painful sensation on a newly grafted area is worrisome at the least. Anyone have any thoughts as to what they have heard from their respective clinics, if anything at all? As for those results, I wanted to hold off on starting a thread until I had something closer to the final thread, but there seems to be a lack of posts by actual Dr. Rahal patients, so I figured this would as good as any for prospective patients looking to track a result as it dues completion. It's tough to comment on my progress in terms of percentage of total grafts sprouted (doesn't appear to be 50% if looking by grafts/cm as most have well below 20 atm), I'll let my pictures show everything and the forum can decide objectively how it's looking. I will say that I appear to be a very slow and gradual grower, so I'm just letting time do its trick for the time being. I have read and seen many results that improve night to day between 6-7 months and a year or later, so I am hoping I am on track for the same. It's easy to get fixated on those that are early growers, so for now I'd prefer to spread positive vibes. This procedure is does not come free of anxiety, we all know that, but I gain solace in knowing that this clinic performs multiple surgeries each and every week and has been for the last 15+ years. They are masters and though the process may be long, they know what they are doing. The following pictures start with my pre-op photos, then post-op, 7-days post op (scabbing), a dr. frietas result at 10 days that shows what I mean about being able to see the majority of individual hairs still attached to their grafts before they shed, and finally photos photos taken by me at 6 months. Would love to hear everyone's thoughts on the progress so far.
  18. Two of the best HT doctors on the planet - both clinics offer excellent post-op care. I had 3 FUE procedures with Rahal because that's what my gut told me to go with. I was most comfortable with his conservative plan for my specific situation. I also think his hairlines are superbly natural. I had gotten an online consult with Dr. Wong of H&W at the time. But to be honest, I would not have doubts having gone with either Hasson or Wong - they're a top tier premier clinic. Its all about who you feel most comfortable with. Both Rahal or Hasson will be excellent for traditional strip surgery, I believe its just FUE is just more popular now. I needed a larger strip mega session, however I had minimal time off, needed to get back to work, etc. so I opted for FUE. Best of luck in your journey.
  19. Thank you for advices of good repair surgeons for HT (Couto, Lorenzo, Keser, Freitas, Pekiner, HLC, Hasson & Wong). I have seen more results of these surgeons. The best results have Hasson & Wong and Couto. Hasson & Wong clinic is too far for me. Dr. Couto has very impressive work on Instagram, but his website is only in spanish language and I have read that he is completely booked till 2023. On this forum are just a few of results of this surgeons and clinics (except Hasson & Wong). Also Dr. Keser has very nice work, but his website is problematic and almost in all items of his website is written that " You are not authorised to view this resource" and there is a problem to find more his results. Can I ask you to advice me on what basis do you think these surgeons are best and where can I find the results of their work? What are the current prices of these surgeons? Thank you for your answears.
  20. I highly recommend Dr. Bloxham. He does both FUE and FUT. I'm not as familiar with Hasson and Wong. Dr. Bloxham's results are amazing and the FUT scar doesn't even show up at all often with Dr. Bloxham. Look at this thread:
  21. Good choice, H&W are a top notch clinic with a long reputation dating back 20 years. I suggest using our advanced search page to look up real patient reviews from both surgeons. Unbiased patient reviews are the best way to evaluate any surgeon. I also suggest consulting both of these clinics to get a personalized quote and to see who's philosophy you prefer. Keep in mind, Dr. Bloxham is primarily a strip surgeon, his philosophy is different than H&W who now perform both FUE and strip. Dr. Bloxham https://www.hairtransplantnetwork.com/physician/New-York/Blake-Bloxham/685 Dr. Hasson https://www.hairtransplantnetwork.com/physician/British-Columbia/Victor-Hasson/9 Dr. Wong https://www.hairtransplantnetwork.com/physician/British-Columbia/Jerry-Wong/632
  22. 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.
  23. Dr. Rahal I'm just wondering why your clinic refuses to give information on pricing for your procedures? I've tried multiple times to get a price per graft estimate from your reps but they insist that I come to the clinic in person which is tough for me since I'm not able to take a lot of time off work. I'd like to consider you for a procedure in the future but it seems overly difficult when they won't give me an estimate which every other clinic I've spoken to has been able to do including Hasson and Wong.
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