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  1. Hi folks, I just wanted to share my recent experience following an FUT procedure with Dr Jerry Cooley yesterday. I apologise if this post is long and detailed but I took a lot of value from all the various posters and wanted to give the same back. Days leading to the procedure I had been speaking to Cooley’s clinic in September and had various conversations with Lollie as well as telephonic conversation with Dr Cooley himself. After speaking to them both I kind of knew that this was the clinic I wanted to go with. I paid a deposit at the end of October for a 4000 FUT procedure. During the lead up, I must admit it was a mixture of emotions and last week was possibly the worst. At one point I just wanted to cancel and not go through such was the nerves and anxiety. But ploughed through it and as the day got closer the more excited I felt. Travel to Charlotte from LHR Some of you may be aware the UK experienced snow fall which as per usual played havoc with some of the outbound flights. I was due to fly out at 13:30 and came to know in the morning prior to reaching the airport that the flight had been delayed to 14:20. 14:20 came and there was still no news about what gate to go to or if the flight had been delayed or even cancelled, despite repeated attempts to find out information from the relevant information desks. Finally, we were given a gate and told to expect to take off at 16:30. We boarded the flight around 17:00 and didn’t take take off till 19:30. Which meant we didn’t arrive in Charlotte till 23:30!! Immigration control was no issues, just told them I was here for vacation and they asked some additional questions such as “where I am staying, how long, what I do for a living, how much currency I have etc?”. Breezed through with no problems. The clinic had arranged for us to be put up in the Hilton Garden Inn which is about 20 mins or so from the airport and approximately 5/6min drive to the clinic. Day of procedure I was advised by Aileene to be at the clinic at 7am. The hotel offers a shuttle bus and because of the late check in they were unable to schedule this for me at short notice, so had to get an Uber to the clinic. Arrived at the clinic and was greeted by Stephanie and taken to a room where I was asked to complete the normal paperwork. These were actually sent to me prior so I could’ve made my life a little easier by completing these prior to arriving. Stephanie was very kind and didn’t make an issue out of this. She was very calming and friendly. Once the paper work was completed, I was asked to choose some movies (like most clinics they had a large range) and also lunch (again loads of options and if anyone is interested I had a turkey panini wrap). Once this was all done Dr Cooley arrived to greet me. Following an initial conversation about goals etc I knew this guy was top notch, such was his confidence, personality and straightforwardness. I had my photos taken and the hairline drawn not that there was much to draw as I already had frontal tuft it was just a case of bridging the areas which had been lost. He looked at my donor and said it was excellent and that laxity was very good. We both agreed that the frontal third would be the most dense and continuing in to the mid-scalp area with less density and also shrink the crown outside in but not completely fill. Once this was all agreed, I was given my meds; antibiotics, valium and two prednisone’s (these are to help reduce any swelling). Once that was done, I was taken to the room. The room was exactly how I expected it to be. I had previously watched Joe Tillman’s visit to the clinic and if anyone wants to see it, take a look on YouTube. My hair was then slightly shaved where the strip was due to be taken. At the same time Brandy was taking my blood pressure. It was a little high, not sure why as I was super calm and excited. Anyhow, I was asked to lie face down on the chair for strip removal and was also given something to calm me down. After this was done I don’t remember much. I vaguely remember the anaesthetic shots and these were not as painful as I thought they would be. After this I must have dozed off as I cant remember anything thereafter. I do remember it was around 08:30 when I was asked to lie down. I woke up later and asked for a rest room break (I was literally bursting!). Dr Cooley advised that it wasn’t an issue as he was almost done closing the strip. I got up and felt a bit light headed, so sat down, I looked at the time and it was 10:30. Dr Cooley advised that it was a straight forward removal and there was no heavy blood loss or any other issues which I was very happy about. The strip was closed with sutures. After the rest room break Dr Cooley and Brandy started to make the incisions in the scalp and at the same time I think I counted six technicians in the room doing the graft dissection. I felt absolutely no pain at all during this process. I just had my headphones in and probably nodded off a couple of times. I cant stress enough how painless everything was so far! Time for lunch around 12noon. I asked Dr Cooley how the work was going and he mentioned that they had done around 2000+ incisions and would be inserting the grafts after lunch. We broke for lunch for about 20/30mins or so. I ate and at the same time was talking to the extremely friendly technicians. After lunch the work continued and at the same time I was watching the selected movies. Don’t really remember the first two films. I had selected the Batman series and I do remember during the Dark Knight, Dr Cooley saying a few dialogues which I found pretty funny. Dr Cooley and Brandy meticulously inserted the grafts for the next 7 hours. Yes it was that long but this is purely down to both being perfectionists. One thing to note the anaesthetic shots (I actually don’t remember where these were placed in the front, I assume around the forehead area) but a couple did hurt just slightly but literally lasts for 5/10 seconds. It really isn’t that bad at all! During the latter part of the procedure I was quite alert and conversing with both Cooley and Brandy. They are both amazing people and extremely friendly to talk to. They actually bounce off each other was really refreshing. I did joke with them that they are like husband and wife which they found quite funny! The last hour was probably the most discomforting mostly because I had been in the chair for almost 11 hours and my shoulders and neck were getting pretty sore. Again I ploughed through. We eventually finished the entire procedure around 20:30ish. I asked how many grafts I got and was told over 4000 which I was really happy about. Post op pictures were taken and I was shown the back of my head and the top. I was slightly nervous about strip and where it was being taken from and if it would be visible. I can honestly say that Dr Cooley and Brandy have done a fantastic job as I couldn’t find it at all. The top of the head looked pretty good considering I had over 4000 grafts inserted. I was given my post op instructions, shampoos, meds, my post op ATP spray which I needed to spray every hour and every 2 hours when sleeping for the first few days. Dr Cooley showed how it is to be done (very simple!) and he asks to put a cling film type thing on top immediately after to help with healing, keeping the grafts moist and for the spray not to evaporate. He calls it the ‘green house effect’. Once back at the hotel, I sprayed as instructed even through the night although not every hour, every two hours in fact. In terms of pain, I feel minimal pain around the strip. Out of ten, I would rate it a two/three. I’ve honestly taken a pain killer since the procedure and today is the day after. The strip area does feel numb which I fully expected and also expect this to subside over the coming weeks. Post-Op Day 1 As I said earlier I took a pain killer in the morning as I was expecting the pain to increase. However, after the pain killers had worn off I still felt the same, no increase at all. Since then I have had very slight plan on the left hand side of the strip. The rest of the donor area is still numb but pretty comfortable. I did notice minimal swelling above my eyes, nothing like what I have seen on the forums and defiantly nothing major. Dr Cooley advises to take two prednisone’s the following morning after the procedure which I did and the has gone down. As also mentioned above I’ve continued following Dr Cooley’s post op instructions in spraying the post op ATP spray every hour. I also got my hair washed at the clinic and what can I say, the work looks extremely clean. Just a few blood spots but generally it looks just how I expected the work to be. Amy who washed my hair even mentioned that she found it difficult find the scar as she needed to put some antibiotic cream on it. This was refreshing to hear! Dr Cooley came in after the hair wash and checked things over and he mentioned that all looked well and that it looks exactly how it should be. He also mentioned me as the ‘model’ patient as I barely moved in the surgical chair and also kept the whole team entertained (while I was awake of course!)!! I did ask how many grafts we managed to get and he advised that the final figure was 4108. I’ll get the break down later this week and will share. He also mentioned that he could get another strip of about 2000-3000 if needed and some FUE grafts after that (again if needed). Dr Cooley also recommends a Help Hair whey protein shake which I purchased and have started to take this as well. I just felt it cant do any harm. Any how the day has been pretty comfortable and very pain less. To summarise my experience so far, I’ve definitely had a great experience with Cooley and his team. They all work extremely hard and are very meticulous in everything they do. Cooley (and Brandy) is a perfectionist and wants everything to be 110% correct. I know the whole team has put in 110% effort so that I can achieve the desired result!! Dr Cooley and Brandy were by my side every time I would look up and I probably remember Cooley walking out for a short while but I am 110% confident that he was there and doing most of the work throughout the day!! It really does ease any anxieties when you know the lead doctor is there playing a pivotal part during the procedure and being so heavily involved! I’m on my iPad and will be receiving a CD with post / pre op photos which I will update later this week. I have some on my phone and again I will post later (just need to blank out the face). If anyone has any further questions, please feel free to ask here or PM me. Apologies for the long write up, I hope anyone considering Dr Cooley and his clinic finds this useful. If anyone is due for a procedure in the next forthcoming days with Cooley, I am staying at the hotel until Sunday and am more than happy to speak to anyone!
  2. This patient has had great results with the help of Finesteride. Only 5 months post-op. Before: After: Before: After: Before: Before: Before: After: Before: After:
  3. Hello Forum. This is my first post. I had an FUT with Dr. Hasson in March 2018. 5113 Grafts, of which approximately 2/3 went into the front and 1/3 into the crown. I'm submitting some photos of the journey and my results so far. Here are the pre-op pics. Sorry, I don't have any pre-op pics of the crown area.
  4. This patient has had great results from his 3000 graft procedure. This is 23 months growth. He is also on Finesteride. Before: After: Before: After:
  5. #BAM Better late than never #BeforeAndAfterMondays!! This patient underwent a follicular unit transplantation FUT session with Dr. Carlos K. Wesley in which a total of 2645 grafts were placed. The pattern design was conservative to account for the patient’s relatively young age. The patient’s hair follicles were incubated in platelet rich plasma PRP throughout the duration of the procedure. This, combined with an ATP-containing storage solution has been shown to enhance survival of transplanted hairs. As with all of Dr. Wesley’s patients, he was NOT required to cut his hair for the procedure. As a result, this patient was able to return comfortably to work and social activities within approximately 7-10 days of his procedure. The patient returned 12 months after his procedure and images of the patient can be seen below.
  6. Hey everyone, I recently (~2 weeks ago) had an FUT procedure done by Dr. Diep in Los Gatos, CA. This is my second FUT procedure. The previous one was about 5 years ago by a different doc and had rather weak results. First procedure before and after (5 years ago, 4 years ago, and about a month ago): Pre original procedure 1 year post orig procedure 3 weeks ago, 5 years post original procedure... and pre 2nd procedure So now for the most recent procedure with Dr. Diep. First of all, the experience was much more relaxed than my previous. Dr. Diep instills a lot of confidence and his approach is very straight forward and reassuring. He decided FUT would work best for me and was hoping to get 3500 grafts and cut out my original scar. Unfortunately, he was only able to retrieve about 2500 grafts but refunded me the difference. I went with the shot of stem cells (PRP or whatever) to help everything take and stimulate growth. Here are some pics of post surgery up until now (about 2 weeks later): donor area is feeling pretty tight. Definitely not as much flexibility as their was the first time. scar goes fairly high up this time here it is today. I know I'll likely lose most of this in the next two weeks or so... but interesting to see the new hairline / density I might hope to see again in about years time.
  7. OK so allow me to explain because this title is probably confusing. FUT versus FUE is one of the most discussed topics however, what people don’t realize, is that FUE IS FUT. FUT stands for follicular unit hair transplantation and was named that way because instead of using the old mini-graft technique which contains approximately 4 to 8 hairs - surgeons began using hair groupings as they appear naturally in the scalp, called follicular units. The follicular unit can be anywhere from 1 to 4 hairs. A follicular unit transplant procedure involves both harvesting hair from the donor area and implanting them into tiny recipient incisions in the scalp. However, when we talk about FUSS and FUE, we are strictly talking about the donor harvesting technique portion of the FUT procedure. FUE stands for follicular unit excision, recently renamed by the ISHRS from follicular unit extraction. This donor harvesting technique involves using one of many various excision devices to harvest follicular units one by one from the side and back of the scalp or other areas of the body. FUSS stands for follicular unit strip surgery and involves harvesting a strip of tissue containing hair follicles, suturing or stapling the wound, typically using the tricophytic closure technique, slivering the tissue and dissecting follicular units from the strip using microscopes. So what about the implantation part of the procedure? Why is there so much focus on the donor harvesting technique? Well there are some names for the implantation part of the procedure, such as stick and place but the focus is on the donor harvesting because that’s what ultimately determines the viability of the graft. If a graft is damaged, it’s typically during the donor harvesting portion of the procedure. However, grafts can be damaged during the implantation part of the procedure if the technicians or surgeon is not careful and crushes it during implantation. That’s why implanter pans were developed for example. They assist with implantation while minimizing damage to the follicles. For more detailed information about all of the above, I suggest reading the content below that we’ve written on our website. https://www.hairtransplantnetwork.com/Hair-Loss-Treatments/follicular-unit-extraction.asp https://www.hairtransplantnetwork.com/Hair-Loss-Treatments/FUE-vs-FUT.asp https://www.hairtransplantnetwork.com/Hair-Loss-Treatments/FUE-hair-transplant-implantation-devices.asp Now, there are many more links that I can post, but if you follow the above links and then follow the links in each content page above, you will see more about specific extraction devices, sharp versus blunt punches, the history of FUE, etc. I’d love to hear everyone’s input on this. Bill
  8. Everyone and their mother has tried to persuade me out of getting a hair transplant in Mexico, but it’s affordable and I read/write/speak Spanish. Even folks on The Bald Truth and other popular Youtubers warn about going to Mexico for cosmetic surgeries and they all repeatedly recite, “you get what you pay for”. Although I find it odd that none of their surgeons are board certified, I’ve seen some life changing results from Dr. Nader and Dr. Gaston De La Garza. Honestly if I could afford a $20,000 hairline from Dr. Craig Ziering in Hollywood, I wouldn’t think twice. So, is there some kind of prejudice within the hairloss community or are there more instances of botched FUT surgeries that I just haven’t seen?
  9. BACKGROUND I'm in my late 20s and started receding around the age of 18. my scalp is very light compared to my forehead. my natural hairline sat right on the line where the pigmentation changed color. (Pictured) I stalked these forums regularly but never posted until recently. I'm Latino with African/Italian ancestry, my hair grows straight for about .5cm before it curls over. I'm located in NY Moving Forward I consulted online or in person with various doctors that were recommended on these forums the likes of (Arocha, Bloxham, Diep, Vories, and Frank). after many Q&As with each I felt most comfortable with Dr.Arocha in Texas. I flew to TX on Thursday met him and the staff that same day we went over my loss and future strategies as well as design. He recommended a higher hairline than the one I received based on the rule of thirds which I understood but felt it wasn't near my original hairline. we agreed on a lower line (pictured) The Big Day After medications and local numbing was administer a strip was taken from back of the head – 3140 grafts were harvested. Dr. Arocha mentioned he was aiming for 40 grafts cm2 coverage and that my hair was straight at short length. He did the strip removal, stitching and incisions at recipient site. Technicians did the graft cutting and placement. The procedure was done on FRIDAY I was very pleased with the service. everyone from medical staff and administration were very welcoming and ensure I had an excellent operation. it was to such extent that Dr. Arocha came in on Saturday to review the post op and ensure things were okay. he even gave me a tour of the city in his personal car. he even had one staff member come in on Saturday - the same day as her son's birthday just in case some work was needed (thanks Michelle). On Sunday (Father’s Day) he called to check up on me. Again, I’m extremely pleased with the service. Has First week post op I had swelling which is normal which has gone down considerably between days 4-7. I have followed the post op instructions to the T. I have used the shampoo and bacitracin provided by the Doctor as per instructed no harsh touching and trickle water. I feel like the treatment and operation were world class and I’m inclined to use the doctor again Pictures posted include my original hairline, my baldness pattern, hairline design and post op results at day 5/6. Please contact for any questions I will maintain this thread with my progression. PLEASE FEEL FREE TO CONTACT WITH QUESTIONS
  10. Wondering if anyone has been on blood thinners (anticoagulants) post-op, and whether it’s had any negative effect on the growth of their transplanted hair? I know cessation of blood thinners is necessary pre-op and during the surgery itself, but wondering whether resuming their use soon after the surgery is something anyone has had experience with or can comment on? Thanks
  11. This patient came to Dr. Arocha with severe thinning. He kept his hair short to conceal the hair loss. He underwent a FUT procedure and received approximately 3000 grafts with Dr. Arocha and the team at Arocha Hair Restoration. The after images were taken 10 months after his procedure. Before: After: Before: After: Before: After: Before: After: Before: After:
  12. John Baris

    Best Hair Restoration Method: FUE vs. FUT

    What Is The Best Hair Restoration Method? In the last decade, hair transplants became a very popular choice by many people suffering from baldness or density issues. Naturally, surgeons in this area tried different techniques to achieve the best results planting the hair. Therefore, different doctors started using different techniques for the same purpose. The answer to the question “What is the best hair restoration method?” is not a single sentence, but the best method is an ideal combination of factors and conditions for each unique case. FUE Method In Follicular Unit Extraction method, the hair transplant surgeon extracts each hair follicle one by one from a donor area. A “Graft” consists of 2-3 hair follicles. The aim of this procedure is to extract 2000-4000 grafts, 5000-10000 hair follicles. Because grafts are extracted individually in the surgery, it dramatically increases the success rate of the hair implants and the chances of having a more natural look. The quality of extraction affects the outcome significantly because each graft becomes a new hair in the area where there is no more hair. Simply, more damaged grafts mean less successful rooting. Therefore, extraction is the most essential aspect of the FUE operation. Any extraction technique that doesn’t involve a scalpel may be called FUE. Instead of using the scalpel, use of any size punch will qualify. It may be sharp, dull, manual or motorized. All the different names given to the procedure come from the use of the punch, they all serve the same purpose and each surgeon may utilize depending on their style. There can’t be a better type than other alone, their effectiveness depends on the surgeon using them. Especially in hairline fix surgeries where precision is very crucial, surgeons prefer to use the FUE method. The reason is, they can work in more detail by planting the grafts gradually to create a more natural look. In general, FUE gives more versatility to the surgeon and that is the main reason for the shift in the industry from the FUT method to FUE. Historically FUT was the first method of hair transplants. With the rapid developments in the technology, more doctors started to learn and perform the FUT method. In the beginning, it was a huge invention. People desperately tried different methods for ages to slow down the hair loss and when they finally found out there was a new and permanent solution, it was a miracle. However, in time as more people had the transplants, more complaints there were about the linear scar the procedure left. It took a very long time for the scar to heal and the patients were not content with the look. FUT method had solved an important problem and was the first step of a permanent solution for hair loss. But it wasn’t enough, it had to be improved. Invention of FUE This led to the invention of the FUE method. By a special punch, surgeons were able to harvest individual hair follicles and move them to a recipient area. Because each follicle was extracted one by one, the surgeon was free to choose the donor follicles. This enabled them to get the hair from many different areas on the scalp thus leaving less or no scar in a very short amount of time after the procedure was complete. Today, more doctors are changing their method because when the patient is less concerned about the cost and when they can afford it, they don’t want the linear scar on the scalp. This is the main reason for increasing popularity of the FUE type hair transplant surgeries. FUT Method Follicular Unit Transplantation procedure has a different surgery path than FUE. Unlike FUE procedure, in FUT the extraction of the donor hair follicles happen at the same time by striping the scalp linearly to get the grafts resulting in a linear scar on the scalp. In each graft, 1-4 hair follicles exist and they stay together after the extraction. Then the surgeon prepares these for the next stage of the procedure. Since each hair follicle remains in the graft together, when after planted, they are planted together. Naturally, this gives a denser look as groups of hair follicles together create the density. However, when the recipient area doesn’t have a symmetrical shape, the surgeon can’t distribute the donor area precisely to the recipient area. Thus, FUT is not a very good option for hairline fixing surgeries or when the hair loss is uneven. Pro’s / Con’s This is where we step in. You might find a lot of information favoring one method over the other. From our point of view, it depends entirely on the patient’s scalp characteristics and financial range. An average graft of FUT costs almost half of what a FUE graft costs in most of the clinics. Because the FUT method requires transferring hair follicles with less effort, it requires less skill or dedication compared to FUE method. Moreover, since FUT leaves a scar in most of the cases and people don’t want it, it drops the demand and eventually the price of FUT type of hair transplants. In addition, more doctors are switching to FUE each year which proves FUE is becoming more popular with the surgeons in the market. For those people willing to get their natural look back or fix their hairlines, FUE seems to be a more effective option. However, it is very reasonable that some patients have a less budget or willingness to invest in this operation. In some cases, the hair characteristics of the patient don’t depend on the method. If the type of the procedure doesn’t affect the results then naturally going with the cheaper option is the wisest option. Also, in some cases, patients specifically aim for a denser look in the symmetrical area. In these cases, FUT is advisable over FUE. The news in the industry suggests that the popularity is shifting towards the FUE type hair transplants. ISHRS doctors performed more FUE operations in the last years. In the future, if the FUE prices drop, more patients will prefer to choose FUE procedures. Therefore, the momentum seems to be on the FUE method’s side for now. …Grafts and Different Punch Techniques Sadly, in the last decade, a new trend started in the hair transplant industry. By changing the equipment used for the procedure, or simply changing the punch name, some marketing folks try marketing tricks. Although the method is still FUE or FUT, to make it more appealing, they produce and promote alleged methods in the industry. In order for a new method to be a new method, it must be significantly different than the existing methods. For instance, FUE is different than FUT because of the difference in the graft extraction. Since extraction is an essential aspect of the hair transplants, FUE was accepted a new way of restoring hair. Thus, unless the new method has a significant difference, it is only a different name to the same product. The most common trick is naming the procedure by the name of the punch selected in the procedure. We see a lot of names derived from punch types and specifically tagged with “bio” and “neo”. After a brief research, individuals can conclude that the procedure is the same as the FUE or FUT but only the name is different. Mini C.B Lecture The reason why people try to market these words is, it is our instinct that when we hear words like bio and neo, we perceive them as upgrades of the current ways. It is perfectly normal to think this way. Anyone who studies consumer behavior knows this tactic. When a product and service reach the saturation, that is when marketers use this technique. Knowing that a new approach needs implementing, marketers change the names or features and reposition their merchandise. Here Is Something To Help You Finding Your Ideal SurgeonNaturally, this attracts the consumers who know most of the products out there because it is new. Adding the inner desire to find a better solution, some patients fall for it. Unfortunately, until a new way is found and proven scientifically, FUE and FUT methods are the only permanent solutions for hair loss. Therefore, we do not recommend any of them. The Bottom Line The bottom line is, there is no such thing as the best hair restoration method. Like there is no best color or food, it depends entirely on the person. For every type of product and service, individual needs vary. It is necessary to process information separately for each unique case. After deciding to have a hair transplant, the first thing you will witness is people trying different methods to sell their services. This is the case for any other industry out there. The best way to protect yourself from it is making a great research, getting different opinions from different doctors and being patient. And don’t lose hope, because, in the end, it’s worth it. Here Is Something To Help You Finding Your Ideal Surgeon Good Luck
  13. This patient had a total of 2,113 grafts done over one session with Follicular Unit Strip method. The grafts were planted in the following areas: Hairline, 600 grafts Frontal Scalp, 600 grafts Mid Scalp, 413 grafts Right Temple, 200 grafts Left Temple, 200 grafts Right and Left Parietal, 50 grafts each Photos shown below are pre op, and 11 months post op.
  14. At the beginning of this thread I cannot stress what an invaluable resource this forum has proved on my hairless journey, not to mention the comfort provided by knowing of and following the journeys of others in similar situations. So before going any further, to all of you who have shared your stories and regularly post and contribute to this forum: Thank you! Like many, I have been a long time lurker and avid follower, a daily visitor in fact, but I have never ventured as far as actually posting anything on here. That is until now! I felt compelled to create this little thread for a few different reasons. Firstly, I wanted to pay it forward. The countless stories and threads I have read on this forum helped me so much and I felt such a hunger and thirst for stories, descriptions and pictures of experiences and results while doing my research that I felt it would be unfair of me to keep own journey entirely to myself. Secondly, I felt that such a thread would be an ideal and handy way to keep track of my own progress, on a monthly basis, a view which was supported and greatly encouraged by Dr Bloxham. Lastly, I think it is very worth while to occupy your time in whatever way you can while waiting patiently for the results of your HT and managing a thread such as this one is certainly one of the ways to do that. Now some background info. I’m 29 years old, about to turn 30 this summer. I first noticed some minor recession in my hairline just over 10 years ago. At first I was in partial denial about the whole thing, but gradually the evidence became too great to ignore. For as long as I can remember I have always looked slightly older than I am, a situation aided by me having very mature mannerisms, even as a child. But with my hairloss progressing it became worse and worse and I started despairing over the state of things. Looking middle aged before even turning 30, seemed so grossly unfair. To make matters even worse I have a large head, the shape of which I feel is not aesthetically suited to being shaved, so simply shaving it off was not an option for me. Not a good one at any rate. When I was about 24 I went to see a local doctor and sought his advice about what I should do regarding my hair. He suggested I give minoxidil a try but strongly advised against Finasteride. As a result I gave the former a go for some time, but felt it had little or no effect on me, other than making my scalp an oily mess. So after several months of using it, I gave it up and have not tried any medication since. A couple of years later I visited the Belgravia Centre in London, but was put off by what I experienced as rampant commercialism and lack of professionalism, peddling pseudo-science and promising results I knew they could not deliver on. In terms of family history, my father is bald, having started to lose his hair in his mid 30’s and finally opting to shave it off when approaching 50. I’m not entirely certain, but by the looks of it he is either a Norwood V or VI. His father, by contrast, retained his full head of curly/wavy hair until his death at almost 90. My brother, who is a year younger than me, has also started receding, although his hairloss is not nearly as aggressive as mine. Over the last few years I started toying with the idea of going through with a transplant, but also researched other things, such as hair systems, but ultimately decided that having to maintain such a system and making sure it was always glued on would prove too stressful and that a transplant was the only viable long term solution to my problem. After a few years of casual research, where I was still on the fence on whether to actually take the plunge or not, I decided to finally go through with it. After a few consultations, mostly online, what eventually won me over was Dr Bloxham and his matter of fact, no nonsense, down to earth but very clever way of planning a strategy, utilising my curly/wavy hair characteristics to maximize the results and aiming for two surgeries, leaving the crown and back of the scalp for now and addressing them further down the road. I consulted with him in August and by October I had confirmed a surgery date in February. I flew in the night before surgery and heeded the instructions to say local to the clinic, opting for the Inn at Great Neck, just over a 10 minute walk away from the clinic.I showed up bright and early (07:30) the next morning where I was greeted by a chirpy Dr Bloxham, who immediately made me feel very welcome and relaxed. I waited in the waiting room a short while and filled out some forms before being called into the Doctor’s office where he took a lot of pictures and then proceeded to draw the plan for the new hairline. We both agreed that an appropriately mature hairline would be the right course of action in my case. After that I waited a few more minutes before being prepared for surgery. The staff were all so lovely and accommodating. Everyone was extremely professional and the whole thing literally flew by. The only real pain or discomfort was when I was being numbed at the beginning, but having read so many descriptions of ht’s on this forum, I was prepared for that. Afterwards Dr Bloxham took the immediate post op photos and we went over the post op care routine one more time. Dr Bloxham gave me a cap to wear and taught me how to place it on my head without harming the grafts. Before I knew it I was in a cab on my way to Manhattan, where I intended to stay for the next 11 days, turning the whole thing into a mini vacation. The first few days were tricky, mainly due to having to sleep upright. I also found it difficult to find a comfortable sleeping position in regard to the sutures, as they were very tender to the touch and the slightest pressure caused me to wince. That gradually became much more manageable and within a few days everything became much easier. I was very worried when I started cleaning and massaging the recipient area, but following the cleaning instructions became gradually easier too. By day 4 I became less paranoid about the grafts falling out by accident or mistake. The swelling came, as was to be expected, on day 3, but only took about two days to slide down my face (although looking in the mirror was quite strange during that time). On day 5 I started going out more, casually strolling around Manhattan and doing a spot of shopping. By day 7 I started washing the recipient area a bit more rigorously and the scabs started coming off in the following days. On day 10 I took the train from Penn Station up to Great Neck to have the sutures removed and have the doctor examine the results. Apart from the numbing before the procedure, the only proper pain or outright suffering I experienced through this whole process was when the sutures came out. This is, I think, mainly due to the scabbing that occurs underneath and between the sutures and also the inevitable hair tugging that occurs to the surrounding hair. After the sutures were out I met up with Dr Bloxham who took some more pictures and answered any questions that might linger. The next day I was on a plane across the Atlantic, on my way home. I cannot say enough good things about Dr Bloxham, who is a consummate professional, extremely caring, kind and a true artist. I was at ease from the get go and had I had an inkling that my whole HT surgery experience would play out the way it did, I would have taken the leap much sooner. I’m extremely grateful to him and the whole wonderful team at Feller/Bloxham. And now it’s a matter of playing the waiting game, which is both daunting and exciting. Since arriving back home the dreaded shed has somewhat started. Also, I started going back to the gym on day 14 to do some light cardio, and have been going back almost daily, remaining aware not to overdo anything and avoiding heavy lifting. So far, so good as they say. Just wanted to include that as that was one of my major concerns pre-op. Apologies for this turning into an essay but thank you for reading this far ? If there are any questions or comments, please post them below. I will try to update this thread as often as I can. And again, thank you all for this forum that provides such a comfort in the lonely pursuit of reclaiming one's hair. 2,589 total; 813 singles; 1,776 multis (2s and 3s) The pictures below are pre and post op photos, followed by one from day 2, one from day day 5, and the last two (including the one of the scar) are from day 10. More to come soon.
  15. This patient underwent two 2500 FUT procedures with Dr. Arocha to cover the whole top of the head - hairline to crown. Total combined grafts was 5000. The before photos were taken prior to any of his procedures. Most of the work was done in the mid-scalp to hairline. The after images were taken 10 months after his second procedure and six years after his first.
  16. Hi After 3 years of wait(worst decision) and 2 years of Rogaine(no guts to take propecia another worst decision) I decided to get my 1st HT done. I have advanced hair loss in the crown area and minimal hair loss in the frontal region. I sent photos to around 10+ doctors (Thanks to this forum as I am able to get list of good doctors) and most of them suggested to go for 2500-3000 grafts 1st and then 1000-1500 grafts later after 12 months for a FUE procedure. 1 of the top doctor suggested to go with 2000 grafts FUT 1st and 1500 grafts FUE after 12 months for maximum coverage and a decent hairline in the front. He suggested I should not go with aggressive hairline because of my Donor area. So I am in a dilemma now whether combination of FUT & FUE over a 12 months is the best scenario or should I go with FUE all the way? I would ideally wanna go to Europe but travel is a big no for me so I restricted myself to North America with top 5 doctors in my list are Dr Konior, Diep, Vories, Shapiro & H&W. Please advise.
  17. LaserCap

    Price vs Quality

    You call around to find out the cost of a procedure....you get the price and hang up. Not exactly what you wanted to hear. Go on to the next one....Same outcome. You are finally told that the cost is $1 per graft and get all excited. Has this happened to you? It is sad what is happening in the hair transplant industry. Competition is fierce. Many, many practitioners are getting into the industry with no training, knowledge or experience. Ultimately the patient gets a bad outcome, the donor area is butchered, and the negativity spreads to the rest of the industry. Who do you trust? For the patient....Please do your research. Look at before and after photos. Results speak for themselves. For the doctors. If you don't know what you are doing....Get trained! There are a number of brilliant doctors out there that are willing to work with you like Dr. B. Arocha. Not only exceptional work but he can achieve density in a single procedure. Mind you,, this is all graft dependent. And like him, there are others that truly know what they're doing. Do your research! How many times have I heard "pioneer." The issue I've always had with this is the fact that if you've been doing it wrong for your entire career, you are still doing it wrong. Perhaps a refresher is not a bad idea. What is your opinion? Good luck with your search.
  18. This patient had thinning in his hairline, and he desired to restore the density. Dr. Arocha and team performed a 2930 FUT procedure on this patient. The after images were taken one year after his procedure. Before: After: Before: After: Before: After: Before: After: Before: After:
  19. This patient in his late 20’s came to Dr. Arocha with thinning and severe frontal temple recession with some persistence of the anterior forelock. Dr. Arocha and his team performed a 3000 FUT (strip) procedure. The after results were taken one year post-procedure. Before After
  20. I am 39 years old. Began receeding and diffusing in my early 20s. Stupidly, I thought my hair was only “thinning” with age (an adult) and I did not make the connection of MPB. I had never heard of diffuse thinning. I have tried to accept hair loss over the last few years but find I cannot. I did not envision dealing with this as my father retained a good amount of hair throughout his life. Uncles were NW 5/6s however. I know I still have a fair amount of hair for my age, but I am extremely unhappy with it currently. I have taken generic Propecia for at least a year and a half - I don’t really feel like I respond to it though. Pull tests in my diffused area still pull very easily, if indeed Propecia halted my hair loss, I assume this would not be the case? I have no qualms with transplant surgery in theory but I fear the emerging pattern is going to be too far gone to achieve a cosmetically worth it result. Or that a initial procedure may look good briefly, but that I will be left chasing the loss with more and more surgery. Again, I know others have suffered much worse loss at a younger age, and I’m very sorry for that. Still and all, this has been a very difficult problem for me. Here are some pics (apologies for poor quality). Please let me know what options I may have. I really want to find a solution to this and I feel there has to be a way. My hair when grown out is fairly thick and has a slight to medium wave to it. Some of these pics are under strong bathroom light with wet hair. The last pic shows some retrograde (which I definitely have) in my nape. Does the presence of retrograde rule out FUE? Rule out transplant altogether? I want to reiterate that though you may see a good amount of hair when it’s grown out, it is sickly, diffusing, miniaturizing hair. The camera may not pick it up fully. My crown does not dip TOO far so I’m not sure if I’m full blown NW6 or if I can squeak by as a 5A. Im grateful for this community and welcome constructive help.
  21. This patient had a total of 1,815 grafts done over one session with Follicular Unit Strip method. The grafts were planted in the following areas: Hairline, 600 grafts Frontal Scalp, 765 grafts Right Temples, 225 grafts Left Temple, 225 grafts Photos shown below are pre op, and 9 months post op.
  22. This 42-year-old patient was a class 4. His goal was to rebuild his hairline and add density to the frontal 1/3 of his head. He elected to go with a FUT procedure. He received 3,403 grafts. These are his results 1-year post-op. The pateint is extremely happy with his results.
  23. I am a 27 yr old man who started losing pretty early, around 18. Just had my first ht surgery (yes yes I know, early) about two months ago. Would like to get input on what you guys think I could expect as well as how to maintain during the next few months. Had about 3000 grafts put in! I have been using rogaine for native hair and that has helped slightly for the time being. Will also be purchasing a laser helmet shortly (i am terrified of finasteride, and will not be experimenting with it..) I am also a little concerned about my scar at this point. It seems to have widened slightly, especially over my left ear and right back portion. I have my hair a little under an Inch long and it covers it very well. But the doc said I'd be able to wear 3 guard buzz, and at this point it's very noticeable at that length. Will it continue to heal so I can wear it at a 3 guard? Thanks! Mainly I'm just looking for tips and any advice thanks! ! Thanks
  24. This patient came to Arocha Hair Restoration with recession and severe thinning in the frontal third. Dr. Arocha and team performed a 2500 FUT procedure. The after results show the patient's result at his routine follow-up visit at about 7 months after his initial procedure. I will update this case as he continues to come in for his follow-up visits. Before: After: Before: After: Before: After: Before: After: Before: After: Before: After: Before: After: Before: After: Before: After: Before: After:
  25. Hi community- I know all surgeons take precautions to avoid this scenario, and measurements and skill come into play... but what would happen if a surgeon took too wide of a strip from someone’s donor region, and could not close the flesh together? I don’t understand how people can have multiple FUTs
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