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  1. Hello all, I finally bit the bullet. To give everyone a rundown I’m 39 years old this year. I live out of Austin, TX but I’m from closer to the Houston area. I started thinning when I was 18 and I tried everything to slow down the process, admittedly without a lot of knowledge back then. This was 1998 and I didn’t know much about propecia or minoxidil. I tried shampoos and all kinds of gimmicks. I did try propecia and minoxidil liquid but because I didn’t know enough about it and didn’t see immediate results I just stopped and got on with my life. It all started in my crown and then over the course of a decade marched its way forward toward my hairline. While my crown was very noticeably thin my hairline and frontal third stayed noticeably strong until my mid to semi late 20’s. At 24 I went and had my first consultation at a Bosley clinic in Houston and the whole experience made me feel uneasy. The doctor wasn’t really concerned with my crown which is where all the thinning was happening and wanted to lower my hairline which was still a teenage hairline. It was less than four fingers down on my forehead and still really thick. Ah, how I miss that wall of hair... lol. I politely passed but they called me every single day for two years straight trying to get me to come in for the transplant. They wanted to charge me 20K to lower my hairline and sprinkle some grafts in the crown. Knowing what I know now I think back about how they didn’t even bother to mention propecia to help slow loss. Bullet. Dodged. I got married in 2010 which ended really badly very soon after and my hair really started to go after that. Around 2012 I went to Dr Brad Limmer and got on Propecia/biotin/minoxidil foam to slow things down. Sadly he passed away the next year almost to the day of my consultation with him. I’m an actor and I was staying in Houston with a friend in 2014 while filming a movie in Louisiana when someone mentioned Dr. Arocha. I scheduled a consultation and we immediately got on very well. I loved his attitude, how much knowledge he wanted to share, that he was very honest about what we could achieve. I was traveling a lot though and it just wasn’t the right time to pull the trigger. While I traveled around the states for jobs I would schedule consultations with other doctors. I spoke with Feller and Bloxham, Gabel, Hasson and Wong, and others-some through email, FaceTime, in person. Ultimately it came down to me feeling the most comfortable with Arocha although Gabel was pretty close. I’m a diffused thinner and if my father and maternal grandfather are any indication I’m going to end up a 6 on the Norwood’s scale. I was going to go ahead with the procedure last year but my wife (I got married again in 2017) and I found out we were pregnant with twins so I decided to wait until things settled down with them. Side note: I did not stop taking finasteride when we found out we were pregnant and our babies our beautiful and healthy and at the time of this post almost 6 months old. The Big Day! I got to Arocha’s office a little after 7:30 am (traffic in Houston sucks) I signed the paperwork. We took some preop pics. Dr Arocha designed the hairline basically within my existing one. The plan was to work through the existing hairline, fill in the temple corner recession, and bulk up the frontal forelock. We discussed what we would do next year, reassess the front or go ahead and work on the crown. Everybody was really nice. I was visibly nervous and my blood pressure was a little high due to my being a little antsy. The Valium quickly helped out with that. When they were injecting the numbing solution into the back of my scalp I noticed I started shaking and feeling queasy so I spoke up immediately. They turned me over and raised my legs and put ice on my chest. I almost immediately felt better. Dr Arocha was there and cracked a joke about how I was his first patient of the day but probably his 7000th patient altogether so there was really nothing to worry about. TBH I wasn’t nervous about his ability to help me as much as I was just nervous about this giant step I was taking. After this procedure there was no going back. I turned back over when I was ready and they took the strip out. They kept complementing me on how good my donor was however I never got a number from them. I asked but they were just like, “don’t worry, it’s really really good.” I believe I heard say as they were looking at it that it looked like 80 to 90. Dr Arocha started to make the incisions and we talked for awhile before I dozed off and the next thing I know is I’m waking up to salmon kabobs, a killer salad, and potato and black bean soup. I eat up and then I go back to the chair where the techs start to insert the grafts. We chat for quite awhile. Dr Arocha was there for quite a bit of it as he would interject in our conversations. Every once in a while he would remind them about this or that concerning my grafts. I dozed off again and when I woke up we were basically done. They informed me that while I was out they put PRP all over my head. They went over cleaning instructions and we took some post op pics. My wife came in to pick me up and everyone came out to meet our twins. After that we were off and back to Austin. The ride back was pretty rough. There was a lot of pressure in my head and I got a pretty bad headache. Even with the pain pills. It didn’t even last the entire three hour drive though. I’m attaching some pics. Some preop through day two. I don’t have any pics with the design yet. I’m going to speak to Arocha’s office and see if I can get my hands on the hairline design.
  2. Hi, I would like to share with you my hair transplant experience with Dr. Feriduni in Hasselt (Belgium). I am 41 years old and I started losing my hair at the age of 20. 15 years ago, I had my first hair transplant in Greece with not great results (1800 grafts). So about one year ago I decided to have my second hair transplant with Dr. Feriduni because of his great reputation (searching and viewing different forums and especially this forum). The large number of great results convinced me that this was the right Doctor. I had a FUT strip surgery with him 4 months ago with about 2800 grafts. Unfortunately, the Dr. could not take more grafts because of my bad elasticity so we’re limited on the frontal area. Dr. Feriduni is an excellent guy and I found the clinic to be very professional. Attached you may find some pre op and post op photos taken by Dr. Feriduni. I’ll update this thread in about one month (5 month) because unfortunately until now there has been not hair growth. If you have any questions, please feel free to ask.
  3. This patient came to Dr. Arocha to restore his hairline. Dr. Arocha and team performed a 1500 FUT procedure, with PRP, on this patient. He is currently undergoing a medical regimen of Propecia to halt future progression of hair loss. The after images were taken 1 year, 2 months after his procedure. Before: After: Before: After: Before: After: Before: After: Before: After: Before: After:
  4. This 23-year-old gentleman had a hair loss pattern similar to a class 3 on the Hamilton Norwood hair loss scale. His goal was to rebuild his hairline and add density to the frontal 1/3-1/2 of his scalp. Taking his age and hair loss into consideration we came upon an agreement for what would suite his expectations. After establishing his medical history and understanding the progression of his hair loss, I diagnosed his condition as Androgenetic Alopecia (male pattern baldness), ruling out any other possible dermatological or medical conditions which can cause hair loss. The patient’s goal was well suited to his needs and therefore I planned the surgery accordingly. I wanted to reconstruct a hairline that would be suitable for him as he continued to age. A total of 3,071 grafts were used. I used a significant amount of single hair follicular units which allowed me to create a very natural hairline. This action will allow him to comb his hair without anyone detecting that he has had anything done. These are his results 7 months post-op and he will continue to get more improvement over the next 6 months. The patient is extremely happy with his results.This 23-year-old gentleman had a hair loss pattern similar to a class 3 on the Hamilton Norwood hair loss scale. His goal was to rebuild his hairline and add density to the frontal 1/3-1/2 of his scalp. Taking his age and hair loss into consideration we came upon an agreement for what would suite his expectations. After establishing his medical history and understanding the progression of his hair loss, I diagnosed his condition as Androgenetic Alopecia (male pattern baldness), ruling out any other possible dermatological or medical conditions which can cause hair loss. The patient’s goal was well suited to his needs and therefore I planned the surgery accordingly. I wanted to reconstruct a hairline that would be suitable for him as he continued to age. A total of 3,071 grafts were used. I used a significant amount of single hair follicular units which allowed me to create a very natural hairline. This action will allow him to comb his hair without anyone detecting that he has had anything done. These are his results 7 months post-op and he will continue to get more improvement over the next 6 months. The patient is extremely happy with his results. YouTube Video of Patient Results
  5. This patient had a total of 2,485 grafts done over two sessions in the crown area with a Follicular Unit Strip method. Photos shown below are pre op, and 1 year post op after his second procedure. Before: After:
  6. This patient had a 1500 FUT (strip) procedure with Dr. Arocha and his team. The after images were taken three years after his procedure. Before: Before: Before: Before: Before: Before: Before:
  7. A question many of our patients ask is “How permanent are the results?” Dr. Arocha’s work withstands the test of time. A decade later, and this result still looks good. Hair restoration surgery done by a trained provider incorporates short and long-term planning. As this case shows, the result continues to maximize his framing, continues to be age appropriate, and is completely natural. With a small number of grafts, we were able to achieve optimum results for this patient. The after results were taken 10 years after his procedure. He had a FUT procedure that consisted of 2016 grafts. Before: After: Before: After: Before: After: Before: After: Before: After:
  8. This patient came to Dr. Arocha in 2015 with thinning throughout the frontal third. He had a 2500 FUT procedure and is taking Propecia. He recently underwent a 1500 FUE procedure to enhance the temple and hide the FUT scar from his initial procedure. The after images were take four years after his original 2500 FUT procedure and 5 months after his 1500 FUE procedure. Before: After: Before: After: Before: After: Immediately After 2500 FUT Procedure: After (2500 FUT and 1500 FUE): Immediately After 2500 FUT Procedure: After (2500 FUT and 1500 FUE): Immediately After 2500 FUT Procedure: After (2500 FUT and 1500 FUE):
  9. This is 4 weeks out from 2000 grafts with Cooley in the front sides. This amount of shedding is normal, right? Just want to make sure the testosterone supplement (Nugenix) isn’t the cause. Been in that about a week, but taking 1.25mg of finasteride 3 times week. Just need some reassurance :)
  10. Hello everyone! Just want to say first that I truly appreciate this website and all of it's members. I've learned so much from this site even before I created an account in 2013. I've sent a couple private messages several months ago asking for opinions, but this will be my first public post where I'll finally share my story, hair transplant results with Dr. Rahal, and hopefully you all can give me some honest reviews/recommendations. Two things before I get started. I don't have the best quality pictures nor very many of them and I apologize. And also I know my username is about as cheesy as it gets. It seemed appropriate at the time before I had my first hair transplant and my primary goal at the time was to create a naturally looking hairline. I'm 39 years old now and live in Missouri - United States. I started receding at 16 years old. Almost had a HT with Bosley in my early 20's but thank God I wrecked my car and then couldn't afford it. Going to Bosley would've been the worst decision ever. I took Propecia/Finasteride off and on in my 20's and early 30's which really helped. And then I stopped the medicine when I was around 32 because I knew at some point in the near future my fiancee and I would be trying to do In-Vitro Fertilization. Less than a year after I stopped Finasteride I had lost a lot more hair and it was driving me crazy. I was about to get married and I knew it was time to get a hair transplant asap. After all the research I had done up until this point I was 100% sold on Dr. Rahal. My goal was to create a new hairline that was dense and natural looking and I felt that Dr. Rahal was the surgeon I needed. I ended up having a FUT with Dr. Rahal in October, 2013. Based on my hair loss at that time, Dr. Rahal recommended 4000 grafts by FUT. Once the procedure was finished I only ended up with 2949 grafts based on my laxity and donor density. Four to five months after my FUT with Rahal I was feeling optimistic because more new hairs were starting to sprout. I was also given the okay from Rahal's team to use Toppik if I wanted. I had never used any hair fibers in the past and this was a complete game changer for me. Even though at 6 months my results were see through and not dense, with the help of Toppik, I was able to create an illusion of a full head of hair. A year after my FUT with Rahal I took pictures and emailed them to Rahal’s team. I expressed that I felt my growth was not what I imagined it would be and that I’d like to hear Dr. Rahal’s opinion of my results. I didn’t make a big deal about it to Rahal’s team. Rahal’s team responded and said they covered an area of over 81cm with 2949 grafts, which is an average of 36 graft/cm squared. They also said at that density we expect to see some see though and visibility of the scalp. I was also advised that when Dr. Rahal reviewed my file that my grafts were fragile and my skin was tough to create popping. Dr. Rahal advised the fix would be to do another procedure/add more grafts and bring the density closer to 50 grafts/cm squared which would give a better illusion of density. Dr. Rahal also offered me 300 free grafts if I scheduled another hair transplant. By the way, I financed the hair transplant with Rahal thorough my own bank in Missouri on a 5 year loan. So a year after my HT when I knew I needed another HT in order to add more density and getting a better result, I knew I simply couldn’t afford anytime soon. So I let it go and went on with my life using Toppik every day and making the most out of the hairs I had. Also, I’m absolutely not blaming Rahal for my result. I think he is an amazing surgeon and I consider him to be very ethical. Even though I didn’t get a homerun result which I know now is not always the case, the result I got with the combination of Toppik changed my life and appearance in a very positive way. I’ve always known I’ve had thin hair, but I didn’t realize until lately that different hair characteristics play a very important role in the final result or the illusion of density. I also think it’s very likely that the reason I didn’t get a homerun is because my hair being very fine, not many triples and no quads, not able to get as many grafts needed to cover my larea needed, possible below average growth, and no finasteride. Here I am now, five years since I had my FUT with Rahal. I haven’t taken Finasteride in 7 years or so and I’ve lost so much more hair. I still use Toppik almost every day, except for the days I wear my hat. I’m tired of using toppik and spending so much time fixing my hair and stressing over it. It’s exhausting and depressing to say the least. I’ve considered shaving my head and also considered getting a hair replacement system. My gut tells me I wouldn’t be happy with either of those two options. Since I was successful at IVF and had a healthy child, hopefully very soon I’ll get back on Propecia or Finasteride which I know will help. What I really want and think I need is another hair transplant. In a perfect world I’d love to get one mega session and be done. Reality tells me I might not be the best candidate for that nor does that happen every time. So I want to be realistic. I’m not sure if I should go the FUT route again or if I should try FUE? Even though my hair characteristics are not amazing, if I were to get another FUT or FUE who would you guys recommend? Obviously I have a lot of area to cover and I’d love to cover as much area as possible in one session. Thank you all so much for reading this and sharing your opinions!
  11. This 37-year-old gentleman had a class 4 pattern hair loss. He elected to go with a FUT procedure. He received 3,538 grafts. He received 1,586 singles, which were needed to create a natural hairline, then 1,313 double and 639 triples. These are his results 1-year post-op. The patient is extremely happy with his results and is on Finasteride to try and control further hair loss.
  12. 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!
  13. 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
  14. #BeforeAndAfterMondays This patient underwent a follicular unit transplantation (FUT) session with Dr. Carlos K. Wesley in which a total of 2516 grafts were placed 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 one year after his procedure and images of the patient can be seen below.
  15. Hi Guys, I just had my FUT hair transplant and it has been one week. I would like to share my experience with you guys. Right now there are still a bit of scabbing which my doctor has given me some olive oil to help remove it. I will start a new job in 1.5 weeks and to my undetsanding that the transplanted hair will shed then regrew in ~3 months. In my situation, i was wondering if there are any ways to style my hair in a way that will hide the shedded areas? Below is 3 days post OP. I will take a photo tomorrow morning when i hit the 1 week mark.
  16. This patient came to Dr. Arocha to re-establish a hairline and increase density. As you can see in the before images, he had fairly severe thinning throughout the top of his head. Dr. Arocha and his team performed a 2800 FUT procedure. The after results were taken one year post-procedure.
  17. This is Dan following up 4 years later. Unfortunately the hair that was transplanted has thinned and started to fall out. I have used propecia, rogaine, nioxin shampoo & conditioner religiously, directly after transplant. I am disappointed in the fact I was told transplant hairs never will be affected, as they are "resistant" to DHT. I was a little taken back when I went back to Dr. Alexander and I was basically told, "i must be in a shedding faze". I spent alot of money on the procedure only to have the trasplanted hair thin to the point it's very noticable. I was told by Dr. Alexander before my transplant April 1st 2015 that I may need another transplant later in life, but behind where this transplant would be because the transplanted hair will not thin or go away. Which I was ok with because I know hair loss is progressive, but it shouldn't happen exactly where I had the transplant. I dont know what to do Dr. Alexander offered to do another surgery for again what I paid the first time almost 9k. I guess no guarentee In life and no help unless I drop another 9k. Dr Alexander was great and did a good job at the time. I have no idea why the "permanent DHT resistant hair" is falling out. And I did FUT and have a large linear scar where now shaving my head is not a viable option. Please help with advice on what I should do. I desperately looking for a solution and help. It just baffles me that I would be now having to have to pay again 4 years later to have the same exact thing done. Dan
  18. Intro I’ve done some research and I want to be corrected if I’m wrong. If I can be, I will have the confidence needed to consult with ASMED. About me Late 20s Norwood 3V (minor loss at crown) Finesteride and Minoxidil - hair loss stable. Goals Restore hairline and temple points and minimal loss at crown. Thoughts ASMED ASMED get decent results but it’s roulette in terms of which tech team you get. Donor management isn’t the best - they use more grafts than other clinics to achieve the density illusion. I’ve also seen more aggressive hairlines on younger patients than more conservative clinics. I worry that if the meds stop working down the road, I could be left with limited grafts and an unatural look. FUE I have three crowns so having super short hair for me has never worked. Therefore I’m not worried about FUT. I also think FUE isn’t great when you’re younger because of how loss can resume: you can get more grafts out of FUT in the long run and it doesn’t destroy nearby follicular units like FUE. FUE is blind. FUT has better survival rates. Conclusion I am actively considering ASMED but the above consist of my reservations. Therefore, I’m also thinking FUT with Hasson Wong.
  19. This patient had a total of 1,205 grafts done over one session with a Follicular Unit Strip method. The grafts were planted in the following areas: Frontal Scalp, 400 grafts Mid Scalp, 400 grafts Upper Crown, 405 grafts Photos shown below are pre op, and 1 year post op. Before: After: Before: After: Before: After:
  20. I took these pictures today and I can see its worsening day by day, and hair has thinned from BACK too , I am confused now whether to opt for FUE or FUT, initially I was considering FUT with Dr Sunit Soni from Medispa but have seen few bad reviews of his hairtransplant recently, thus im confused now. Help me guys with choosing the best method and a good surgeon as I am not worried about money but want my hair back, I live in United Arab Emirates (Dubai) so please suggest and help me. Just using olive oil as of now and not on any medication.
  21. 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:
  22. 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.
  23. This 40 something gentleman came to Dr Keene to make his hairline more natural after he had a scalp flap surgery (done elsewhere). Dr. Keene prescribed Finasteride to help him retain his hair, and provided a range of grafts for him to choose from depending on whether he wanted to include both the hairline and temporal area. He opted to include both, and Dr. Keene softened the hair line as well as filled in the temporal area and scars with a session of 1750 FUT grafts, restoring a natural appearance. He opted to further add more density a few years later with a 2nd procedure, this time opting for FUE for the donor removal method. The photos are from before, after 1750 FUT, and after an additional 1000 FUE. He is pleased with his results, and mentioned that the results make him feel more confident. Here is the graft breakdown: FUT Surgery 2014 FUE Surgery July 2017 1s) 397 1s) 31+ 2s) 542 2s) 498 3s) 600 3s) 328 4s) 211 3s) 143 Total 1750 Total 1000+
  24. Preoperatively, the patient was extremely devastated by his hairloss and especially his lack of symmetry, which obviously led to uncomfortable stares and questions. Patient is a national radio talk show host and also does small amount of TV. He would always wear a hat to cover his hairloss. We started his restoration in November 2013, and completed his surgery in 2015. I spoke with the patient just last week and got permission to use his story. He is extremely happy and satisfied and may return for additional follow up photos. Patient came in October 2013 for an evaluation of hairloss that he suffered after craniotomy and radiation therapy for brain tumor. He had been evaluated previously by 2 other Bay Area physicians and told that he was not a candidate for hair restoration. His recollection was that he was told the hair would not grow due to the condition of the scalp following radiation. After exam and planning, I proceeded with a multiple session procedure so as to maximize graft survival, naturalness of results, and as much coverage as possible. In the first two procedures, we transplanted 4505 grafts (session 1 was 2400 grafts; session 2 was 2105 grafts). The first two sessions were 6 months apart. Initially, I told the patient that we would not have enough donor for the crown, however, when the patient returned approximately 10 months after session 2, he said he was mostly satisfied with his hairline, frontal scalp, and mid scalp density, but he was really bothered by his bald crown. We did 1645 grafts in session 3 with the majority (approximately 1145 grafts) to the crown and left posterior mid scalp and left parietal areas. Before: After Session 1: After Session 3: Before: After ONE session: After THREE sessions: Before: After ONE session: Before: After ONE session: After THREE session:
  25. This patient underwent a 3000 FUT procedure with Dr. Arocha and team. As you can see in the before pictures, he had severe thinning throughout. The after images, which were taken one year and two months after his procedure, show significant improvement. Before: After: Before: After: Before: After: Before: After: Before: After: Before: After: Before: After:
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