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  1. Summary (because this review is long): Today is the 9th day after the surgery. I am very pleased with the Dr. Diep and her staff (so far.) Let's start with surgery info: Surgeon: Dr. Diep MHTA Clinic at Los Gatos, California Surgery Date: 11/12/2020 Procedures (graft): FUE (1411) + FUT (1211) Myself: Asian in my 50's with NW4 to 4.5. Start losing my hair since early 20's. Never take any med, tropical, roller, special shampoo, or anything for hair treatment (just too lazy to care.) My hair never give me trouble at work or dating. Live in the Bay Area and 20 miles from Dr. Diep's office. Reason on Dr. Diep: I have been following Dr. Diep's YouTube channel for more than 2 years and am impressed with the results. I also read a lot of reviews here and I don't see any justification for me to travel during Covid to see other doctors. My #1 requirement is not to screw up. #2 is nature hairline with good density at the front. I actually don't give a damn about the back since neither I can see it in the mirror nor I talk to others with the back of my head. Anyway, I decided Dr. Diep is the best fit for me. Cost: I was first quote $17k to perform 2K FUE to fill the front during the zoom consultation with Dr. Diep. When I got to the office, Dr. Diep was worry that I would not be happy with the density and suggest to go up to 2250 grafts. Since I am not a 1%er, I would like to stick with my original budget (I also heard Divorce is very expensive.) Dr. Diep then suggested to fill my front with FUE+FUT for $17k. Since I actually was undecided about FUE or FUT, I liked the suggestion. The Day of the surgery: Arrived at 7:30am shape. The office is at the very nice part of the Bay Area and is much bigger than I thought. The nurse then had me to fill out a bunch of forms that I read two weeks prior (same time the full payment was due.) I then chit chat with Dr. Diep for about 20 minutes about the surgery (procedure, med, and time), work, and also family. Btw, Dr. Diep is younger than me and I beat him on having much older children. Felt good since I likely retire sooner than him. The tech then lead me to a large surgical room (end up spent the whole day there) and Pam the nurse came in to buzz the back, front and the side of my head. (Pro-tip: If you decided to go with Dr. Diep, just have Pam to buzz off all the hair.) She was very nice but I told her not to quit her day job. I was start dozing off from the med and kind of in and out of consciousness. Don't quote me but my surgery probably starts around 10:30am. I aware there were two tech + Dr. Diep when they were getting the donors. The only time I was fully conscious was having my Pastrami sandwich (good), Fries (not good), and Apple juice (best I had ever taste but I think it is because of the med.) during lunch. I also aware that I may be bleeding a bit much (end up with IV) and talk a lot while I was out. I finally came back to full conscious when the two technicians (Kwan and Linsey) was injecting the hair to my head. I asked about the time and it was 11ish at night. We then spent about an hour making fun about the back to back Julia Robert movies (Pretty women + Sleeping with Enemy) on the TV. Dr. Diep would come in to check on us periodically and the surgery ends around 12:30am. Linsey then went through the aftercare package (med, shampoo, bandages, and shoulder pillow) while I pull my IV off my arm. She wasn't too crazy about it. Dr. Diep then spent couple minutes to give me a quick low down about my surgery (a lot of grey hair and it made things harder.) He was happy about the results after all and sent me on my way. After surgery: The pain was pretty ok. I took the Tramadol for the first two days and then just once a day Aleve afterward. I actually have more problems with the swollen and had trouble open my eyes two days later. I did not take any time off and went back to work the next day. I sent my photo to my boss and he told me not to get on zoom. I actually sent him another photo during the peak of my swollen, and he said never send him anymore photos. Things start looking up about four days later and the swollen was totally gone after 6 days. I still take Aleve right before bed time but it is more to do with the discomfort of the back of my head then anything else. Cleaning (day after): I went back to the office the next day afternoon to have my head clean. No appointment was needed. Jenifer the nurse was super nice and answered a bunch of dump questions that I did not ask the night before. It took about 20 minutes in and out. Billing mix up: I got a bill couple days later for some extra charges because my combined 2611 grafts are more expensive than $17K. I called the Monica the office manager and she was able to resolve it with Dr. Diep. Follow up call from Dr. Diep: Exactly one week after the surgery, Dr. Diep called my cell around 9pm to check on me. I can tell he just finished his shift and was getting in his car. He explained to me about the 14 hours procedure and the combination of FUE + FUT just took longer. He also apologized about the billing mix up due to the office manager did not read his note about the no charge. He ended the call to offer me a free ACELL injection ($600 value according to him) due to the billing miscommunication. Next steps: I have scheduled to remove the sutures in two weeks. An appointment with Dr. Diep for the first check up in four weeks. Overall: I am happy with the results and overall experiences. I can be just like many people her to nitpick stuff and expect the doctor to do everything perfect. You probably can tell by now that I don't take shxt too seriously. OK.. Let stop the rambling and see some before and after photos.
  2. I had an FUT 3800 graft transfer to my hairline and receding corners. Post & pre op pics attached. It looks densely packed and clean for a fresh procedure. I have fine hair so dense packing was important. Overall, I’m very happy. Dr Hasson was involved throughout the day which started at 7am and ended at 6:30pm. He and I agreed to shave my entire head, which was awesome (my first time) and then Hasson proposed two hairline options that he thought would match my facial features. I chose the lower/flatter one. He performed the strip procedure that was pretty painless for those of you how are worried. After the strip removal they discovered they were able to get more grafts than expected as my hair is naturally dense and my hair is on the finer side. Hasson performed the recipient incisions which look around 45 minutes. The techs implanted all 3800 grafts into my hairline and receded corners. There was a lunch break and frequent stretch breaks. I was finished sometime between 6:00-6:30pm. Staff were kind, the process was professional and caring and I’d recommend Dr Hasson to anyone looking for a skilled surgeon. I’m going in later today for a hair washing and I get my staples out in 2 weeks. Fortunately, they provide medications for pain, sleep and infection so you’re covered going out the door. They also give you a hat, inflatable neck pillow, pillowcase covering and shampoo. Post care information is explained well and they provide a post care pamphlet with contact phone numbers. Another nice element to the day was I didn’t have to do it alone. The team and Dr Hasson are there for you 100%. And there was another patient getting FUE - so I had someone to bond and chat with throughout the day when we were on breaks. One of the benefits of FUT is that it takes less time (and less reliant on techs). So my FUE friend still had hours to go as I was saying goodbye for the day. Photos show before and immediately after HT. Feel free to reach out if you have questions. Todd
  3. The patient's goals were to address the recession and to feminize the hair line to go in synergy and complete her transition process. Challenges included a previous hair transplant and also a brow life with resulting scars as visible. The patient was very happy at 9 months and one aspect of this was to be able to wear her hair up and backwards without having to be concerned about how it looked. In a recent conversation she has now been able to move on in her life without even thinking about the hair transplant as it has become a natural part of her life with the result that she was able to achieve. GRAFT BREAKDOWN:- 1s 500 2s 1349 3s 667 4s 131 TOTAL:- 2647 CHALLENGES:- VIDEO:- PRE-SURGERY IMMEDIATE POST-SURGERY 3 MONTHS 9 MONTHS COMPARISON
  4. Hey all, Australian here. I've been looking to get a hair transplant surgery for a long time. COVID struck just as I was getting serious about it so a saga of booking local surgeons, cancelling, denial, frustration and ultimately waiting for the borders to open. Well, they're open and I booked the first flight to Thailand to see Dr Pathomvanich at the DHT clinic. As I write this I am a few hours post op and very happy with my experience so far. The clinic was very clean and presentable. The staff were super friendly, really helpful and kept me at ease. There are certainly cheaper clinics, but Dr Path has a legendary reputation with many awards and endorsements on this forums from surgeons like Dr Bloxam. Looking through his previous cases, I see that his work is definitely on the top end but as you can imagine, I will be second guessing myself right until the results start showing. Again though, Dr Path is calm, confident and his staff are all so reassuring - it puts my mind at ease to know I am in good hands. My Stats and Objectives I wanted to restore my hairline as that's primarily the area most affected by my hair loss. I have some thinning on the crown but it's pretty minor cosmetically when compared to the my receding temporal points and high peaks. Gallery of my hair before surgery I've been on Dutasteride for 3 years, Finasteride 2 years prior to that. This has halted my hair loss - I don't think I saw much regrowth but no loss is a win unto itself. Why Dr Path? I was looking at a lot of surgeons. I was considering going to NYC to see Dr Bloxam. Perhaps Canada for H&W and some suggested clinics out in Spain or HLC in Turkey. Thailand is close to me in Australia and I imagine I will need multiple surgeries over the course of my life so somewhere close to home is valuable to me so Thailand made sense given there were reputable surgeons there. I was picking between Dr Laorwong and Dr Path. I feel both are great choices but my gut was telling me to go with Dr Path because he came across as compassionate, he listened and answered my endless questions and he would cite clinical studies / research which is something I value greatly. Dr Laorwong has more activity, but his reviews are from his clinic and less candid reviews. That's not inherently bad but when Dr Path has pages of unscripted reviews, it adds a lot to picking him. Everything Dr Path said corroborated my independent findings digging through medical journals and when there was something he was unsure of he would be up front and tell me there is no research on what I am asking. He has a "no nonsense" approach which I respect. I asked him about PRP during surgery and he explained that there aren't any clinic studies to show it has a benefit in hair restoration surgery but it isn't likely to hurt - which I agreed with. He didn't try to sell me by throwing in extras, all he did was demonstrate through communication that he knew what he was doing and I liked the cut of his jib. Dr Laorwong results are great though and to my knowledge they use similar techniques - but I had to pick one. Travel Prep So. Many. COVID. Tests. Booking the Thai pass was mental, got approved in 7 days. I had to get an HIV and Hep-C test for the surgery, which I sorted in Australia. Other than that I booked 8 days. Fly to Bangkok on the 4th of December, fly back to Sydney on the 12th December. Surgery on the 7th December so that's 2 days to buy gifts for friends, surgery then 4 days post op in Bangkok. Surgical Planning / Pre-Op (Day 0) I arrived at the DHT Clinic at 8:45am. I loved the clinic. It was very modern, well lit, clean and professional. The staff were all very friendly and super accommodating. There were no dumb questions and they were not rushing me for anything. I really really appreciated the customer service there and the life and joy the staff put into their work. I filled out some forms, we did a rapid antigen test for COVID (I had a PCR test done 3 days prior), and after that I got dressed: At that point I was shuttled into a room where there was a nurse who would take my before photos, then wash my hair. People have mentioned that in the before/after photos of Dr Path's other patients, he will often have the before photos with wet hair and the after as dry. I get it now. I was instructed to wash my hair with antibacterial shampoo the night before and the morning of the surgery. My hair looked pretty wiry as a result and it was impossible to style. The goal of their photos were to part the hair so that the recession could be adequately observed. They didn't drench my hair, they just sprayed it two or three times with a small bottle and it didn't change the appearance of my hair significantly. Just needed to do that so they could show the extent of my NW 😆 After my hair was washed, Dr Path walked in and encouraged me to draw what hairline I wanted in the mirror. This is where I felt greedy, in that moment I could ask for a lower hairline and go crazy but I was taught by other people's experiences that conservative is best with hair transplants. I went with the middle ground approach and placed the hairline at the bottom of the baby hairs on my middle hairline. The peaks would be brought down to reflect that and my temporal points reconstructed (even as I write this post op, I am having second thoughts that I went too far and brought it down too much. I am so worried it will end up too thin but I gotta stay positive) Here is a gallery with the hairline design They set up a laser measuring guide to ensure symmetry between the two sides, then broke it up with some irregularities. We talked about FUT vs FUE vs FUT+FUE and I said I am happy with whatever has the best cosmetic result. I leaned towards FUT because I had read studies showing there was greater graft survival, more hairs can be harvested and eventually you can do a combination procedure to maximise donor area. They used this clever gladwrap contraption they placed on my head to chart out the area to cover so they could calculate how many grafts would be required. I thought it was genius because I spent an hour trying to do the same things using a tape measure. We planned 2600 grafts into the temple peaks and temporal points (side burns). They gave me 20mg of diazepam as tablets (valium) and we walked into the operating theater. I don't use valium generally so I don't have a tolerance, but somehow I was awake through the whole thing but feeling a very drunk-link intoxication with less dizziness. The Surgery In summary; we entered the operating theater at 10:30 am and finished at around 7pm and I had 2770 grafts transplanted. Strip Removal The process was quite chill - I lay on my stomach on an adjustable chair that has a face hole (similar to a massage table). Before each of the initial anesthetic injections were inserted, the nurse would let me know so I wasn't surprised. I wasn't expecting this but a nurse was massaging my legs to distract me from the injections. I had read that the anesthetic injections hurt a lot but it turns out I felt nearly nothing. A prick every now and then but it was so mild that I laughed to myself at the apprehension I had over it. Felt like the apprehension was worse than the actual injection. The strip was removed quickly, I only felt some light tugging but no pain at all. I then got up for a bathroom break. Here's a photo of me post strip-removal. You can clearly see exactly how many drugs I am on: Gallery I then went back into the theater for part two, the incisions. Incisions While Dr Path prepares the graft sites on my scalp, the strip is being processed by his technicians. They view the grafts under a microscope and sort them into the groupings. They even let me look at my own follicles on one of their microscopes which was kinda awesome. Dr Path premakes the graft sites using a depth control pen then his nurses will use a dilator to expand the site then insert the graft with tweezers. Below you can see the incision site creation pen configured to be the correct depth for my graft. He then places a few test grafts to make sure everything is calibrated correctly. Once everything is set and ready to go, Dr Path designs the hairline using the pen - creating all of the incisions for the grafts to be placed into. From there the technicians get to work placing the grafts into the sites. The operation began at 10:30 and ended at around 7pm, maybe 8pm. It was labour intensive work and the team at the DHT clinic are incredible. We broke for lunch about 60% the way through and I got a local dish that I love. Fried pork mince with basil, was so damn good. Immediately Post Op Looking at myself in the mirror after the surgery was surreal. I was looking like one of the many heads I had seen online immediately post op. Once everything was done, they gave me some anesthetic for the ride home (warning me it might hurt later on). I paid for the extra grafts. They gave me instructions on the medications, told me not to bump my head on the taxi door and I headed back to the hotel The First Night (Day 0 Night) I might be weird but I have had sunburns that hurt more than this. I rate the pain a 1 or a 2. I barely feel the donor area - feels kind of like a dull low droning of an ache. If I lie directly on it it lets me know that for sure but I figured out a way to suspend my donor area above my pillow without causing any discomfort. I got my travel pillow, flipped it on its side and placed my donor area between the two cushion bits. I got maybe 4 or 5 hours sleep - not from pain but from worrying if I brought the hairline too low or if the results are going to look terrible 😆 Post Operative Care I was invited back the next day for the nurses to wash my hair and show me how to do it. I asked if they wouldn't mind doing it for me for the rest of the week because I was nervous that I would mess it up in the hotel. They were happy for me to come back. Honestly Dr Path and the staff at DHT clinic are extremely friendly. Everyone is laughing and smiling (though their masks). The clinic is very professional, I felt at ease the moment I walked in.
  5. I finally pulled the trigger and got my FUT with Dr. Ron Shapiro yesterday. My experience with him and the staff was beyond incredible. Matt Zupan was a great resource and always available to answer my questions leading up to the transplant. On the day of the transplant, I met Dr. Ron Shapiro who briefed me on the procedure and we agreed on a hairline design. He commented that my donor hair was thick and the skin loose and that he expected to see good number of quality grafts. The procedure itself was smooth. I dozed off a couple of times and that made time go by fast. Dr. Shapiro did the incisions himself and then the helpful staff took over and diligently placed the grafts all over the recipient area. I was surprised by how pain-free the procedure itself was. I look forward to recovering and posting a few updates along the way. thanks to all of you who posted here and have been an incredible resource for a layman like me to learn about the world of hair transplants.
  6. Dr. Louis Nader is one of the best! Very happy with my results. his team is absolutely great and my results speak volumes on what he can do. FIRST PROCEDURE-was around 3900 grafts done in two day. This covered my front and crown. SECOND PROCEDURE- was around 1850 focused on the front for added density. Although I was happy at this point my crown might have gotten a little thinner with in the 2 year span so I went in for a 3rd. THIRD PROCEDURE- 2550 grafts placed in front and crown. Currently I am only out 5 months from this procedure. I do have light and thin hair which makes density a challenge but Dr. Nader gave me the best result I could hope for. Thank you Dr. Nader!😊
  7. Hello everyone, After a really long long time...going in and out from different world wide forums...looking, searching, chasing different info`s, acquiring knowledge, checking the best (and the worst) cases and scenarios... I decided to put up a new thread on this site. The clinic that I picked for my hair transplant is called Hattingen clinic. Hattingen clinic is situated in Switzerland in a small place called Stetten that is very close to a city of Schaffhausen (a seat of Schaffhausen canton). I am 32 years old. The first moment when I started to notice that my hair is really falling out was somewhere when I was 20 years old. That happened during the colledge period of my life. No point describing how did I feel emotionally and how did I responded psychologically... More or less I was devastated at that time (I was sporting a longer hair - parts were touching my shoulders) and that notion of anxiety, stress, angriness, occasional rage whatever... lasted for so many years. I visited a few dermatologists and they said to me that I will probably loose a lot more hair during my twenties. Also, there was a known phrase - „just shave it of bro“. I was prescribed minoxidil 5 %, some vitamins and some shampoos. As everybody practically knows, shampoos didn`t do a goddamn thing, but at that time I was not ready to try anything invasive. At the age of 26 I realized that my balding pattern was worsening. Not that I was loosing my hairline and was starting to thin in the midscalp area, my crown was in a bad condition and that struck me really hard. I started to search a lot about AGA on forums and YouTube. I discovered different types of hair thickeners - or fibers. And I learned about a drug called finasteride but at that time I was really afraid of using it. I think I was an OK responder to minoxidil, but it was hard for me to keep up with the application twice a day, so I transferred to once a day on some areas. At the age of 28 I decided to have a leap of faith and I bought myself a hair piece. Maybe it is hard to believe, but I did this transition in the manner that nobody knew about it. Not even my family, when I got back! I didn`t really know anything about wigs, but when I got out from the hairdressers shop it felt like everything looked more-or less normal. I talked a lot with the lady that did my hair piece (she had and still has years of training and practical knowledge) and she did a bit of „hacking“ on the piece so it looked like it was very uneven (my wishes!). In a year or so I tried finasteride for a very short time. Didn`t pass that threshold that sometimes is spoken of, cause I had some side effects (they were not severe and went away after stoping the drug). During my hair piece era I used just a small proportion of minoxidil because it was really painful for me to strip the piece, put the lotion on and glue the piece back. I also did sprinkle just bits of fibers to cover the section of crown and the back of head where piece was merging with my native hair. I was really happy in a few weeks when I finally realised that nobody knows that I`m wearing a piece. But a hair piece has a lot of issues, mostly when you communicate with the opposite sex... Of course, my condition worsened while I had a piece on. And I was wearing it for a long time. Not to prolong the story... I was communicating with a few very good clinics in Europe. In the October of 2020 I reached out to the Hattingen clinic. I was first introduced to Ms. Carmen. I sent my pictures which I will post bellow so that you can see my starting position. I was described as a Norwood 5 guy and told that I can communicate with the dr. Sever Muresanu in person! Doc and I skyped for 4 times! And not to say that I didn`t even pay any money before our fourth and last talk! Doc was really friendly. He asked me about family hairloss history (I'm the black sheep – the baldest of the baldest – my grandpa was loosing his hair, albeit was not a Noorwod 5 in his thirties, but later on – I would say mid forties). My father has a good hair in his 60s and my older brother still has a full head of hair. We were also discussing my goals. I asked a lot of questions and showed the good doctor some of the outlines that were sketched in other clinics. Also doc did in some way look at my donor area because I bought an USB microscope. He said that I have an average donor. Also he did check my scalp laxity. In the end he suggested that I opt for a big FUT. Also we discussed the medications. Doctor Muresanu isn't obligatory towards Finasteride prior to surgery. I also did a trycho test for AGA and was prescribed in my country with topical dutasteride – 0.25% in a liquid solution. I have a prescription for Finasteride again so I will decide what to do after live consultations with my doctor. I told him that my biggest concern is the hairline and 1/3 of scalp. He suggested that he can do a „bell shaped“ hairline and fill in the rest of balding space as possible. Don`t have any problems if my crown area stays thinner. I am very well aware that transplant cant do miracles. We will of course speak of this the day before the surgery. Also I'm opened to do a new transplant in the future. In the end, why did I choose Hattingen and dr. Sever Muresanu? 1. Many positive feedbacks 2. Great YouTube live videos 3. Natural results 4. Friendly approach; multiple communication via Skype 5. Whole team with doctor Sever will be dedicated for two days to my operation 6. Managing of the scar in the donor area 7. Dr. Sever is associate member of IAHRS and listed on Hairtransplant mentor.com Deal was struck to do a 5000 FU or grafts via FUT. We will see what kind of graft count will I have in the end. Operation will take place on 16th and 17th June. I will have live consultations prior the day of surgery - 15th. Will post my thoughts and pictures after the procedure. Hope I wasn`t too long My current state
  8. I’d like to share my experience report of my HT so far and get feedback on the progress I’ve seen to date. Pardon the verbosity, feel free to skip to the pictures and provide feedback. About me: 40 years old with family history of NW6 on both sides. I was pleasantly surprised that I made it through my 30s without going full NW6. My hairline receded pretty early and developed a bald spot (so NW4) but it wasn’t until 2020-2021 that I began noticing rapid hair loss and the dreaded horseshoe emerging (NW5). I didn’t know hair loss prevention was really a thing until I researched in November of 2021. Medication: I got on fin 1mg/daily November of 2021 with no perceivable side effects so far. \o/ I have avoided min based on my surgeon’s recommendation (he said it’s effectiveness lasts for ~15 years so he recommends waiting to use it until later in life when you need it more). Goals I have lived with a high hairline for a while and it never bothered me enough to research solutions. The emerging NW6 scared me though so I wanted to slow / stop that as much as I could. Restoring a hairline seemed like a bonus but I wanted it to be conservative and mature. I wanted to do the surgery locally in Salt Lake City (SLC) due to logistics. Cost was not a big factor for me but I did want to have the surgery soon. I also wanted to go as big as I could so as to reduce the number of surgeries. I did not learn about Ultra Refined Follicular Unit Grafting until more recently on this site… had I learned about it before it would have been a goal of mine. Decision on surgeon and surgery I only consulted with local surgeons in SLC. In hindsight I wish I had found this site sooner and done some remote ones but somehow I did not find this site during my research phase which was, granted, short but intense. Nearly all of the “surgeons” in the SLC area seemed like jokers. They were plastic surgeons who did HTs on the side with a NeoGraft device. I seemed to know more about HTs after a weekend of research than they did. (This video from Dr. Gary Linkov about the different types of surgeons really resonated with my experience!) The only legitimate surgeon I found in the area was Dr. Zufelt. He has a lot of experience doing FUT and FUE. Similar to all members of the Shapiro group, Dr. Zufelt is a Fellow of the ISHR. This external validation and my conversations with him about realistic expectations and trade offs made me feel comfortable moving forward with him. He also had some pictures of results and they weren’t all cherry picked as his best results so I felt like he was an honest guy overall and wanted to help people similar to how his own HTs had improved his life. Aside from him, his staff was friendly and could answer a lot of my questions as well. His office is kinda odd. It used to be a group home and seemed low budget (prefab housing) especially compared to the high end offices of the joker plastic surgeons. The juxtaposition of office quality and surgeon skill was interesting as they seemed to be negatively correlated! Surgeon skill and quality >> office quality. After discussing with Dr. Zufelt I decided to go with a FUT given my advanced hair loss and the high likelihood for multiple HTs particularly given my family history. Zufelt cited, and shared with me, the research (done by Shapiro I believe) on FUTs + FUEs combinations providing the highest graft yield and so this approach, starting with a FUT, seemed like the best long term approach. I, of course, don’t like the FUT scar and have some regret about it but at the time my thinking was that HTs are one-way doors regardless and with FUT I would be able to maximize the benefit given the research above. (Yes, I saw the recent video and thread about the debate here; very interesting!). If I had got on medication sooner and had been more proactive perhaps I could have gotten away with a FUE. Surgery cost and details On December 17, 2021 I had the FUT surgery. He had estimated 3k grafts but given my goals of going big he said he would try to do as much as possible while being safe. I had a good dense donor area (100cm2 I believe) and so he was able to get 3,412 grafts. He had quoted $3.50/graft and did 100 of the extra grafts above that quote for free. Included in the cost of the operation was also a PRP at the time of the operation (he includes this for free since previous patients saw much better results with them). I also have the option to have him do free SMP sessions at month 8 if I want to hide the scar more. Along with some post op care package that I opted in for, the total operation was just under $12k. Surgery report: Dr. Zufelt only does one patient per day these days. I like the fact that he was focussed and not distracted with other patients. He met with me to discuss my goals, drew the hair line and got to work. We agreed to: a conservative new hair line with the temples only getting 20cm2 coverage My “horseshoe” area was at about 40cm2 and so the goal was to take that to 60cm2 so that it wouldn't’ appear to be thinning. I asked him to use additional grafts to focus on the crown which he ended up doing. He and his assistant removed the strip and technicians went to work with microscopes preparing the grafts while he started carefully doing all of the punctures (is that the right term?) himself. We had lunch after which two technicians implanted the grafts. I did not think to ask if he was going to be doing the implants. It seems pretty common for even the best surgeons to have technicians do this portion. I wish I had asked about the technicians training and experience but I did not do that beforehand and, well, the valium was not conducive to critical thinking. My sense is that they had worked for him for a while but I don’t think they were trained nurses (aside from the one who helped with the surgery). He was in the other room while they worked and would check in periodically. He removed the sutures on day 7 and has periodic check-up appointments with me. Dr. Zufelt is quite accessible and answers emails, texts, and phone calls. He is quite personable and so I have no complaints about this aspect of the HT. Whether or not I can recommend him will depend on the results in 12-18 months and I am curious what you all think. Pictures! New hairline lines prior to surgery (I can’t remember if we went with the top or bottom). Check out that immense forehead! Day 8 He said I didn’t need to shave the recipient area (or the donor area aside from the strip which was covered by the remaining hair easily). As a result you can’t easily see in the photos the grafts he placed on the top of the head where the majority were used. Day 14 The scabs have mostly given way to the graphs so you can see the new hairline before the shed began. The immense forehead is now merely a massive forehead. Month 2 - the dreaded shed My hair certainly looked much worse than before the surgery. I started using hair fibers for the first time as a stop gap until future growth. This was all pretty depressing even though I had been warned about it. Month 4 - some growth, not much Month 6 - meh, what do you think? It is probably the lighting but the crown looks worse than month 4 IMO: The hairline so far: Right side: Left side: Overall I am underwhelmed at the progress so far and had expected better results by month 6. The right temple looks better than the left. Both are patchy but the right is much more filled out. In terms of other areas I don’t notice too much change. I understand that as you move up the head it takes longer to see growth (with the crown taking the longest) so I wasn’t expecting to see much growth there yet. Part of my disappointment in the result so far stems from seeing much better results at month 6 on the forums here. I think I am overly focussing on the temples though and I should be realistic that with the 20cm2 target it is going to not be amazing like other HTs who were able to go all in on the temples (mine will be thinning at best but with combing it over I don’t think it will matter). I’m hoping that I am a late grower and that over the next two months it really starts to develop. That said, I’d like honest feedback from this group on the progress so far. My biggest concern is how patchy the right side is. There were two techs and I worry that I may be seeing tech bias here (the one on the right was less skilled than the one on the left?). Is it normal to have an asymmetric response? I realize that I should probably just relax and let it play out since I can’t do anything about it but I can’t help but wonder. Thanks in advance for the honest feedback.
  9. 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.
  10. Hair loss does not discriminate! It has no respect for your status! Rich or poor! Young or old! The truth is you are more likely than not to suffer from hair loss to some degree, and we see that in royalty, celebrity, sportsperson, and even the to the super rich billionaires, including the world's richest man - Elon Musk. What we can however do, is deal with cards that life plays us to the best of our abilities. We can change the future, if not the past. In this video presentation, we go beyond the usual reviews and look at the the cause as well as the "cure" and see where Elon's loss most likely came from and what he himself did to address it, contributing to the successful and hair confident person he is today. How many surgeries did he have? Why is the scar line so long? What is the advantage of this? Why didn't he do FUE? This and other aspects will be touched on in this brief review on Insider Voice.
  11. Hey community, I want to share my hair journey (so far) and also hope for honest opinions and helpful advices. To avoid too much details, I try to summarize the most important facts (images attached to document the timeline): Current age 33, location Germany Blond/brown and very fine/thin hair (parietal ~42 microns, occipital ~44 microns) I first noticed my receding hairline (in particular on my own left side) in 2018. But already on photos from 2017 the density on my frontal area was weaker than some years before. Slow progressing during 2019 and as naive as I was I had thought "just do a hair transplant and everything will be fine again". I did not do any research and just had trusted the clinic of a famous german plastic surgeon which is closely located to my hometown. They had advised me to do FUT surgery and that I can expect good results since my hair loss is weak and they only have to restore the hairline. I thought "great" and got an appointment in February 2020 (close before Corona, oh why could it not come earlier) -> Summary: extraction FUT, 1100 grafts, incisions by blades, implantation by forceps, unshaven, low/weak NW2 before surgery, huge shock-loss Results 1 year after this first procedure: less to no hair growth, thinner crown area than before (including numbness between crown and FUT scar), FUT scar itself, higher NW (~3) ==> Conclusion: the biggest mistake of my life so far Since my hair was better before that FUT procedure and I wanted to give it one more try, I have started my research at the beginning of 2021 (not knowing the hair transplant/restoration network). Finally, my decision fell on FUECAPILAR, Dr. Turan in Istanbul, because their reputations were good, the guy doing consultations was amazing and the price was affordable (after my disappointing first experience with HTs). They had estimated that I would need ~2000 grafts and I got an appointment in March 2021. Summary of my 2nd procedure: extraction FUE (motorized and manual), 2208 grafts (most to the hairline and frontal scalp, no crown work), DHI technique, surgery over one day Results 1 year after the 2nd procedure: normal and good growth of transplanted hairs, reconstructed hairline, improved/better density in the frontal area Treatments/medication: Microneedling-Pen (~once every other week), 1-3 PRP treatments per year since 2021, saw palmetto (~400mg daily), biotin (~5mg daily), further nutrients, Nizoral/ketoconazol shampoo once a week, neither Fin nor Min So far, so good. The 2nd procedure (FUE+DHI) was a good repair of my disastrous 1st one. And I know that most guys would be blessed if they had my current hair situation, but I'm not completely satisfied. This is mainly due to a lack of density in my hairline resp. frontal area. I'm really happy how my hair looks and how it frames my face, but if I comb it up then I can see through onto my scalp. I can understand that it is difficult to create the illusion of density given my hair characteristics, but I think there is still room for improvement. What do you think, is it realistic to improve my density in the frontal area under this circumstances or is it already the optimum I can expect? For your information, I have planned the following steps: Share my story and situation with others to collect their opinions and hopefully get advices Contact some of the recommended clinics/surgeons and get a in-person consultation with my favorite one in winter 2022/23 (preferably with immediate repair of my FUT scar) Depending on the consultation results (analysis of the current hair situation, in particular if my hair loss has stabilized) I would undergo a 3rd procedure in winter 2023/24 (then I'm 35) to fill in density to my hairline and maybe do some work on my crown October 2018 November 2019 February 2020 1 day pre FUT surgery (front) February 2020 1 day pre FUT surgery (up) February 2020 1 day pre FUT surgery (left) December 2020 10 months post FUT surgery March 2021 day of FUE+DHI surgery (front) March 2021 day of FUE+DHI surgery (up) March 2021 2 days post FUE+DHI surgery (front) March 2021 2 days post FUE+DHI surgery (up) March 2021 2 days post FUE+DHI surgery (FUT scar) April 2022 over 1 year post FUE+DHI surgery (up) April 2022 over 1 year post FUE+DHI surgery (front) April 2022 over 1 year post FUE+DHI surgery (front) April 2022 over 1 year post FUE+DHI surgery (left) April 2022 over 1 year post FUE+DHI surgery (left) April 2022 over 1 year post FUE+DHI surgery (crown) April 2022 over 1 year post FUE+DHI surgery (crown)
  12. I’ve consulted with a number of Doctors, recommended from this Forum and have landed on one with the earliest date being the last week in January 2023 (which is great). My concern is that I’m getting married the end of April 2023. The HT will be FUT and between 3000-3500 graphs. The plan will be to strengthen my hairline (age appropriate) while focusing on density for the frontal 2/3rds. I don’t necessarily need to schedule this in January although I’m enthusiastic to lock in a date. Although I know I won’t see much result from Jan to April, my concern is potential worst case scenarios of redness, healing, etc. I’d love to hear opinions, experience, advice from members. Is it advisable to lock in January or hold off until after our ceremony? Thank you in advance.
  13. For a long time I have been interested in Dr. Diep due to his YouTube collection over the years. However after reading a lot of recent negative reviews about him in this forum, I want to broaden my options. Dr. Hasson seemed like an awesome surgeon, but unfortunately he is in Canada. I cannot leave the states currently. I would love to hear from others on here who they think are really good hair transplant surgeons! My hair loss is progressing to a Norwood 6. I have realistic goals. I don't need to lower my hairline to anything crazy. I just want to have good coverage on my crown area and then work upwards. I understand I may need multiple procedures. I do not take Finasteride due to side effects. The only preventative measures I take are Biotin supplements, iRestore low level laser therapy, and Nioxin shampoo. I tried shaving my head during quarantine and 100% do not want to be bald for the rest of my life. Hair transplant is the way to go for me. I am 26 years old currently, here is a photo of my scalp:
  14. Hello Fellow Members, I intend this to be the first post of my HT journey in 2020. My sincere thanks to this community and every person online who has shared knowledge, perspectives, opinions, results, etc. This has equipped me to make an informed decision. I know at least 14 relations and friends who have expressed sincere desire to get a HT, but remain at the periphery due to fear of high assumed costs, side effects, etc. resulting from lack of research and not personally knowing anyone who underwent the procedure. This documentation of my experience will be a first hand example to motivate them and other new people on this forum (assuming all goes well). As such, this is my contribution to equip future patients with information and confidence. About me - Male; 29.5 years old; Indian immigrant currently studying in Canada. Why HT? - While I have never visited a doctor for a proper diagnosis, I assume I am suffering from Androgenic alopecia inherited from my mother's side. I have been experiencing hair loss since 17-18 years of age. Finally I am at that stage where the hair loss has become very evident and troubling when I look in the mirror or at my photos, and I would like to do something about it sooner rather than later. I am not interested in non-surgical restoration methods like wigs/hairpieces, etc., but open to medication. Why India? - I really wish I could get it done here in Canada for convenience. I first visited Dr. Rahal for a consultation. He is local to me. I have no doubts in his ability, but his services will cost me about 3-4 times of what I will pay in India for the services of a highly skilled doctor. For an affordable HT, I chose India over Turkey to avoid language barriers and for the comfort of homeland. Also, most IAHRS members and other globally recognized surgeons are more affordable in India than Turkey (except Dr. Resul Yaman and Dr. Ekrem Civas I think). FUE or FUT? - Last year I got super excited and emailed Dr. Suneet Soni (Medispa) that I was interested in getting FUT done from him and he gave me a quote for 3500 FUT grafts. Unfortunately, my limited financial resources were urgently required somewhere else and I had to delay. I let Medispa know that I was going to delay. This gave me more time to think and research. I read about FUE with Dr. Bhatti (Darling Buds) and DHT with Eugenix Clinic, and saw many cases of scar stretching from FUT. Finally I decided that I did not want to take that risk regardless of which closure/stitching technique is used, and also I wanted a quicker and less painful healing. So I am interested in FUE or DHT only. Who in India? I am nearing the end of the process of identifying potential options, and until now I have shortlisted the following surgeons. My photos are posted at the end of text. a. Dr. Tejinder Bhatti of Darling Buds. He suggested 2800-3000 FUE grafts and answered all my questions satisfactorily and seems very professional. I thought his consultant Shera would contact me when I first emailed, but I believe I have been chatting with the Dr. directly. The fact that he doesn't perform FUT at all and his entire practice is based around aggressively promoting FUE, along with the fantastic FAQ on his website promotes confidence in his skills as a trustworthy FUE surgeon. He is a member of pretty much all prestigious global associations and was also featured in some publication's 'Top 20 global surgeons for HT' ranking. His website has transparent pricing. Cons: I came across some posts on this forum where the results were far from satisfactory and the post-operation response and support those patients received from the clinic seemed disappointing for a clinic of such high reputation. b. Eugenix (will probably select the comprehensive pkg. which has partial involvement of Dr. Bansal and Dr. Sethi). I was in touch with their consultant Nelson a couple of months ago and he offered a Skype session with a doctor (don't know which doctor). I postponed it due to personal reasons, but have resumed the conversation. Regardless, Nelson had mentioned that the doctor suggested 2000 grafts through DHT. I don't know which doctor since there are 5 at the clinic, and was a little surprised by the qty. of suggested grafts, but will bring up this question in the Skype session. Also, it would be good to know what percent (approx.) of total slits are done by Dr. Bansal or Dr. Sethi in comprehensive pkg. I chose Eugenix because Dr. Bansal and Dr. Sethi are highly reputed surgeons, inventors, authors of books and publications, and members of prestigious societies. They are also listed on Joe Tillman's recommended surgeons list. Their website has transparent pricing. Cons: I can't afford full services of Dr. Sethi or Dr. Bansal and will have to place my trust in the young doctors trained by them for majority of the procedure. c. Dr. Suneet Soni of Medispa He suggested 3500 FUT grafts (because I started a conversation advocating FUT). I have read that Dr. Soni is the best for FUT, but not necessarily FUE. All his successful results are also FUT + FUE. I emailed him recently (after many months) with new photos and requesting quote for FUE. He has not responded since a week. Not sure if he is still interested. Regardless, I chose him for his results, excellent website (though no transparent pricing), prestigious memberships, and artistic reputation. My recent photos are attached. Please share your opinions, ideas, insight, suggestions regarding my surgeon choices above and the photos below. I will be very grateful for your time and help. Tagging some fellow members who also posted similar questions recently and seemed undecided on their search. @Alphabeta @Dalveer @skallig @givemehair2019
  15. The HT: I had an FUT procedure with 1000* grafts to fill in receding temples. The good: Dr. Schreiber is nice and personable. In retrospect, the consultation (and later on, the check up appointments) is a bit rushed but he does answer all your questions if you have them. Staff is also nice and attentive. I had a couple of questions post-op, before my two week follow up, and he was responsive and available. The direction the hair grows, which I’ve read can be an issue, also seems generally fine. The rest: Overall, I’m unhappy with my first transplant results. I paid a premium price for subpar results. A HT is a long game and I’ve tried to be patient but the results have caused me significant stress and more anguish than my original recessed hairline. While I don’t regret getting a HT, I do wish I had started it differently. My issues are the uneven sides and overall lack of density as well as pitting. The procedure - there were two techs working on either side. One side is more sparse compared to the other. Unsurprisingly, the side with the most density is the one where one tech spent more time than the other (I’m assuming she was literally adding more grafts). It’s also the side where I have noticeable pitting. Schreiber is out of the room the majority of time the grafts are being placed. The hairline - It’s too straight, and masculine (every time I look at it, I find it off putting. I couldn’t put my finger then realized it’s because it reminds me of the photo posted here: https://www.hairrestorationnetwork.com/topic/51718-wobbly-vs-straight-hairlines/ ). I had specifically asked about creating a feminine hairline. I was worried about this since most HT surgeries are performed on men. He assured me that this wouldn’t be a problem. He drew the hairline guide after I had gotten all the injections. I thought it looked fine but I’m not sure a drugged patient about to start a procedure was the best time to ask for a good assessment. *The grafts - 1000 grafts was too conservative an assessment for the density I needed. I noted in another post that at my 10 month check up, Schreiber said I “actually” got 2000 grafts. I was quoted a price of “$10/graft for 1000 grafts” over the phone. The same was then confirmed during the consultation. I paid $10,000. I would’ve liked to have been a one and done with the surgery (and I could’ve been. My case wasn’t complex or difficult), and another surgeon could’ve have done better with 2000 grafts. The 1000 grafts also made more sense since he also said that many folks need a second transplant so I chalked it up to him being a conservative doctor generally. But instead, I apparently got a two for one? I don’t know what to believe at this point. The one thing I know for sure is that I need another procedure anyways. The donor site/scar - I hated the recovery for the FUT procedure. Taking out the staples hurt a lot. I have long hair so the scar is both hard to find and impossible to see day to day. There is a 2 inch area on one side that healed improperly and it’s just bald. It’s sometimes noticeable when I put my hair up haphazardly. Other than when I got my staples out, he never checked my scar during follows up, but I don’t know if that’s standard. The final check-up - my 10-month check up was where the 1000 vs 2000 thing came up. I’m still baffled by that (if it wasn’t obvious already). He said everything looked great. Since I wanted more density he said I could do another procedure. He didn’t say how many more grafts I would need (I didn’t ask) but that the first 100 would be free since it was my second procedure. The pitting he couldn’t see. I didn’t bring up my concern for the hairline shape but he brought up that he thought that looked great too. It was clear overall that we just had very different opinions on whether or not this procedure was good. He suggested I come back in 6 months but needless to say, I’m not interested in going back. The photos attached are the most recent. I tried to include different angles. I need to wait to hit the 1-year mark before seeing other surgeons for consultations for the second procedure (at the recommendation of doctors I’ve already reached out to). I’m hopeful that I can correct the hairline shape, and add more density. I’m honestly most worried about correcting the pitting (and infuriated that, from what I’ve read, pitting is a technical and amateur mistake). I’m not sure why there are no real reviews of his work on these forums. There’s one footnote by user @lpants whose experience does not surprise me given my own. While I wish I could get my money back and do it right with another surgeon, I’ve mostly stopped beating myself up about it. I hope this post helps other people considering him in the future. There’s a lot of good advice on this forum. The one thing I want to repeat, highlight, and underscore for folks considering a transplant - Don’t rule out travel. I did. I thought I had chosen a quality surgeon and I wouldn’t have to worry about travel. Mistake. And guess what? Now I’m going to have to travel anyways. And pay at least twice as much than if I had gone to a top doctor in the first place.
  16. I had a hair transplant about 7 months ago and not loving the results. Far from it. I’ve read many posts and I’m trying to be patient, waiting until the 12 month mark. I’m wondering if waiting is the only option or if there’s anything I can do. The details: FUT to lower hairline and fill in temples; $10/graft; 1000 grafts Visible pitting; very low density (original hairline very visible; worse under any artificial light). One side is much much thinner than the other. While I’ve read that this is not uncommon, it worries me because I had two techs working on either side and one spent a considerable amount of time on what is now the denser side. I wouldn’t be surprised if the thin side never “catches up.” The doctor kept saying that a second procedure is not unlikely during the consult. I didn’t think much of it but now it feels like I will absolutely need a second transplant. I don’t trust him enough to do it. But he already got my money /shrug I have a follow up appointment soon and still figuring out how to address these issues with him. I raised them during a previous check up but all he said was to wait since it’s still too early. It made sense then but not anymore. If a second HT is likely, how soon can that happen? I’m embarrassed to wear my hair up and constantly trying to hide my new hairline. Is FUE recommended after FUT? I hated the recovery and would rather not cut away another chunk of scalp. Is it too early to at least get another consult or will they likely advise to wait anyways? Thanks for any perspectives on my situation.
  17. About myself: Age 26, norwood4. On 1mg finasteride daily and 5% Minoxidil for 4 Months preop. Medium hair shaft thickeness with Straight hair. Significant anterior miniaturizing and very minimal at crown. Strong donor density. I had a 3000 graft FUT done by Seager Hair Transplant Centre in Toronto, Ontario Canada. Dr. Aditya Gupta. Im going to post my results thus far and I hope somebody on here finds this helpful. I will continue to update as I go! These first pics are what I looked like Pre Op.
  18. Hello, I am a 26 year old healthy male thinking about getting another hair transplant. I did a FUT back in 2017 (2,000 grafts) and an FUE about 16 months ago (2,000 grafts) from the same doctor in the Seattle area - also did SMP last year to help. Although I have seen some great growth, I still don’t have the desired density I am seeing from others. I am also starting to thin on my crown and want to address it outside of continuing to take finasteride. What are your thoughts on possibly getting another Transplant? I would want to do an FUE and most likely in Turkey this time for financial purposes. My biggest concerns are my donor area, the grafts I can still get without worrying about over harvesting. Appreciate any thoughts and feedback
  19. Hello All, I'm 29 years old guy from Central India had Norwood 5 hair loss. After some research I had chosen Dr. Radha Rani in Visakhapattnam, India. I'll not bore you guy with long stories so I'm gonna go ahead and share some facts and pictures. Date of surgery: 01 July 2019 Surgeon: Dr. Radha Rani P City: Visakhapattnam, AP, India Total Grafts: 3284 Front: 2000 grafts Crown: 1284 grafts Here are some pictures a few days before the transplant:
  20. I noticed my hair thinning around the age of twenty-five, it wasn’t until the age of thirty that I started to consider a Hair Transplant. One month ago, at the age of 36 I finally took the plunge and had my surgery with Dr Sever Muresanu & Dr Laura Muresanu at Hattingen Hair in Switzerland. I had contacted many clinics over the years in Germany, London, Istanbul, however there was always something that didn’t quite sit well with me. The aggressive advertising, the perfectly straight hairlines, the speed in which after sending a few WhatsApp photos I was given a estimate and told the next step is to book flights. I came across Hattingen Hair through various forums and was immediately impressed at the work, especially the natural looking hairlines. I scheduled an appointment with Dr. Muresanu via Skype and we spoke about my expectations. He explained that in my case, the best result and maximum coverage would come from having an FUT. He was very honest about the pros and cons, suggested experimenting first with a buzz cut. It became clear to me that financial gain is not the driving factor in the approach to his craft. For our second online consultation, I ordered a special camera to enable him to check the quality of the donor area via Skype. However he would not 100% agree to the surgery without seeing the donor area in person. I found this to be a good sign. The cost of travel was reimbursed. The surgery was spread over days, with an extra check up and hair wash on the third day. Day one. Dr Muresanu drew the hairline and I had no problem in trusting his expertise, he has an impeccable sense of aesthetics which in my opinion should be the first thing one looks for in a surgeon. He had also received photos of my hair from the last ten years and with these in mind designed a realistic hairline. Day One A twelve centimeter strip was taken from the middle and the team went straight to work on it. Dr. Laura Muresanu then took over to make the incisions and short while after, began inserting the first grafts. The only pain came from the local anaesthetic. I was able to sit quietly and stare into the beautiful garden. Around 4000 grafts were implanted and I was sent back to the hotel to rest. I had to spray the grafted area with saline solution every 2 hours. Day Two. Dr Sever Muresanu took two further strips making the total size Thirty-two centimetres. Again Dr. Laura Muresanu and her team implanted the 1912 grafts over the course of six hours. Luckily there were more grafts extracted than planned and I was told the coverage would be better than I had expected - 5912 grafts in total! That evening, I was in quite a lot of pain. I did however get some sleep due to the medication I was provided. The next morning I headed to the surgery again for a wash and check up and was given the medication, cream, shampoo, spray bottle and instructions for the optimal care of my newly transplanted grafts. It’s a very strange sensation to feel a slight pulling and tightness in the back of the scalp. You do get used to it after a week or so. Luckily I had very minimal bleeding and received enough pain killers to get me through those first few days. I am extremely happy with the scar. As you can see from the pictures, Dr. Muresanu did a great job. If I had to give any criticism of the whole experience? I would have appreciated some contact from the team a week or so before the planned surgery. Just to check in to ask how I was feeling if I had any final questions. It’s clear to me that Hattingen Hair has an extremely good reputation and their work speaks for itself. Still I wanted to share my experience. Maybe it helps somebody make the right decision and prevents someone out there from compromising on quality for the sake of saving money. The resluts of your surgery will be visible for the rest of your life. Dr Muresanu’s work ethic and philosophy when it comes to working with the patient to achieve a natural look was a big deciding factor for me. As you can see from the Photos - things are coming along great. I will upload some more in a few months. The front of the head has all fallen out as expected so there is not much to see there right now. I will post the hairline when it starts to grow and look good. Dr Muresanu’s work ethic and philosophy when it comes to working with the patient to achieve a natural look was a big deciding factor for me. As you can see from the Photos - things are coming along great. I will upload some more in a few months. Before Pics 2 weeks post op Scar 2 weeks post Op
  21. Hi all, I started losing my hair around the age of 16. Both my maternal and paternal sides lost hair at a young age. I started my hair loss journey at the age of 19 and began using topical minoxidil and finasteride daily. My hair improved drastically, and all miniaturisation was gone. But by 23, I found my hair had become unstable again, and the quality of my had become variable. I put this down to poor diet and stress, and this was when I implemented positive lifestyle changes; changing my diet, lowering my stress and creating an exercise regime. Another point I must stress is keeping your help healthy is vital! I found minoxidil can cause dandruff or even seborrheic dermatitis. Making sure I treated all this has significantly improved the quality of my hair. Also, regarding post-workout shakes, I use a product from help hair which is rich in biotin. By utilising these steps, I was able to maintain a Norwood 3 despite having an overly aggressive form of hair loss (if I didn't seek intervention I probably would have been an N4-5 by now). However, despite all the clean eating and medication, I knew that I would not be able to grow back areas which had no hair, so I started looking at surgical procedures. I had been considering the procedure since 19, but as a university student, I didn't have the funds. After doing my research, I had come to the following conclusions: I wanted a surgeon who worked locally or at least in Australia, as hair loss is a lifelong journey, not a day trip. I wanted a surgeon that would be more conservative and realistic with my hairline and the number of grafts. I wanted a hairline that didn't look receded and also one that wouldn't look like I had a hair transplant when I go into my 30s. For me, the goal is not to defy the natural ageing process, but to emulate someone who does not possess the gene for MPB. Plus, you can always get subsequent procedures 10 years down the track if you really want to lower your hairline further. I think its important to make sure your hair loss has stabilised. As a 25yo, I cannot be certain that this is the case. The consult I decided to go with Dr Vikram for the following reasons: He consulted with my prior (a lot of clinics will make you consult with a salesperson and not the surgeon). He expressed the same affinity towards safeguarding against future loss by performing a procedure that wouldn't decimate my donor area (e.g. recommending the 1200ish range and FUT procedure due to my age). His practice was near my apartment. He was well-spoken and seemed very engaged in new and emerging hair restoration technologies - check out his YouTube channel! He offered reasonably priced FUT procedures. What I had done I had FUT 1200 grafts + Regenera done. If you don't know about Regenera, look it up. It's similar to PRP - which you will see at many famous hair restoration clinics - but uses the tissue from the strip graft. The growth factors will be specific for hair and give the grafts the extra boost to survive and grow more quickly The surgery day step 1: draw out the hairline. step 2: receive a sedative that takes away the anxiety you might be feeling. step 3: numbing the front and back of the scalp. To me, this feels like a cat scratch. step 4: removing the strip step 5: making the holes that the grafts will go in. Not painful but creates a unique sound. step 6: planting the grafts reapplying local as it starts to fade. It doesn't hurt as the area is quite numb. step 7: injecting the Regenera into the recipient area. Step 8: injecting a long-lasting local into the back again, so you feel minimal pain that night. Comments: his staff were also fantastic. The head nurse was very motherly, attentive and brought great positivity to the operating room. I am currently one-day post-op, feeling mild pain from the donor area. However having had my wisdom teeth removed a few months prior, I can say with certainty; this is nowhere near as bad. I will update you all as I progress. Thanks again to Dr Vikram and the team at the Knudsen clinic.
  22. After speaking with Dr. Konior and Dr. Nadimi this weekend, Dr. Konior mentioned a study conducted by Dr. Ron Shapiro, an elite surgeon who actually kick started this community by performing surgery on @Pat - Community Publisher the study concludes that patients who start off with FUT first and combine FUE get more lifetime grafts than either technique alone. I thought it was pretty interesting, especially for those interested in maximizing donor supply. https://www.ishrs-htforum.org/content/htfi/29/5/local/front-matter.pdf
  23. Hello there folks - long time lurker in this forum. I finally decided to go in for my procedure this week. I chose Dr. Scott Alexander in Phoneix for my procedure. I had consulted with a few other doctors as well, and all of them gave me pretty much the same recommendations (except one): 1. Dr. Blake Bloxham - 2500 - 3000 FUT 2. Dr. Jae Pak - 2000 - 2500 FUT 3. Dr. Sahar Nadimi(Konior) - 2500 - 3000 FUT 4. Dr. Shaver (Bernstein) - 2500 FUT 5. Dr. Hasson - 5000 FUE 6. Dr. Alexaner 3000+FUT I also tried contacting Dr. Gabel a couple of times, but didn't get a response. I decided to go in with Dr. Alexander because of his excellent results that look extremely natural. Also, he was closer to me than the others (I live in NorCal) I am not going to bore you all with the details of my history - but just a quick background - Norwood 5A, Age 28 and been on Fin for past 1.5 years. I initially had a FaceTime consult with Dr. Alexander where he examined my hair and answered any questions I had. He recommended a 3000+ FUT as a first procedure to address the hairline and frontal scalp. And another 3000+ FUT after a year for the crown area. I booked a procedure date with him for Sept 10th. Since he had not physically seen me before, I was asked to come in the day before my procedure. He examined my donor and drew the hairline he thought would look good. I liked the design. I was out in about 20 minutes. The next day I was asked to be in the clinic at 7.30 AM. I was kinda nervous in the beginning. I had to sign some paperwork and they offered me a Xanax (which I refused). I then went in to meet Dr. Alexander. He started by drawing the hairline again. A few changes and we were ready to start. I was numbed at the back and he started to cut out the strip. This took about an hour. I was told I have thick skin. LOL (turns out my Mom was right all these years) Dr. Alexander then started stitching me up. He uses two layers of stitches. This procedure took about 1.5 hours. In the meantime, his techs started dissecting the strip in the next room. I was also asked for my choice of lunch. Next, I was numbed up in the front. Dr. then started making the incisions into which he would place the grafts. He told me he wanted to concentrate and not to talk to him. I selected a movie, and let him do his work. This took about 2-3 hours. I then had a quick lunch and went back into the procedure room. The techs then started placin the grafts into my head. Dr. Alexander only came in to numb me up when needed. The techs took turns working on me (about 4 of them in total, 2 of them planting hairs at one time). This took about 3.5 hours. I finally finished around 5.40 PM. A couple of tips for others looking to have a HT soon: 1. Eat well the morning of your procedure. I usually do not eat breakfast. But since this was a big day, I had a light breakfast (I couldnt eat well because I'm not used to it and I was nervous). Even though you are sitting the whole day, you get exhausted. Also its good to eat well as you will be medicated. So make sure you have a good breakfast. 2. A neck pillow is a lifesaver for the first few nights after the procedure. It prevents your implanted area from rubbing against the bed/pillow and gives you good neck support. Below are pre-op photos: Hairline design: After Incisions before graft implants (during lunch): Immediately post Op: Day 1 Post OP after rinsing the area: Donor area (not the best pic): Day 2 post Op: That's all for now. Will keep this thread updated as often as possible.
  24. Hey All, I’m based in the UK and looking to get a FUT hair transplant. Following everyone’s review on here of Dr hair clinic, Leeds UK (Dr Arshad), i reached out to the clinic. I have been quoted £5 per graft due to the complexities of hair type (afro) and i will require 2,500 grafts. I have my consultation next week, but I have also reached out to Dr Bisanga. I will update you all next week with photos of my journey. Update: July 8 2021 I had my consultation on Monday with the practice manager at Dr Arshad’s clinic. It was ok, i had terrible signal so we kept getting cut off. I was asked to book a consultation to assess my scalp laxity before getting an answer as to whether i can have the procedure (FUT). I asked for Dr Arshad’s availability and they have not gotten back to me yet. Funnily enough Hilde from Dr Bisanga responded to my query. She was super responsive throughout the week and I received my quote of 2,500 grafts. I have paid my deposit and now the waiting begins. I will update you all with photos when the time comes 😊
  25. I need advice on qualified doctors near Kentucky for an FUT procedure. I am only 22 with a very high hairline. I have not experienced hair loss, I simply have always had this hairline. I have found a few places in Nashville but question them due to reviews online. Any recommendations on who is fantastic or who to stay away from would be great!
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