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  1. Hello dear balding friends! A lot of you guys asked for it so here you go! My "quick" report I had a 2 day surgery done in Espinho, Porto, Portugal with Dr. Bruno Ferreira on 28th & 29th of January 2020. Currently resting in my hotel and since I have all the time in the world I decided to write this up - "for whom it my concern" Grab a cup of coffee/tea/whateveryouintothisdays and enjoy reading! A little bit about me 28 year old Caucasian male, Androgenic Alopecia, NW5a. Older Brother - NW 6/7, Father - NW 7-teen. To set up a base line, here's a photo of me before any hair loss (age 18). Never had extremely straight hairline (just a fact!). I've been loosing hair for the last 7-8 years, obviously not extremely excited about this fact, so when I reached NW3a i became worried. I started my research for "natural cure" and tried Detumescence Therapy (vigorous scalp massages - mechanical stimulation) for 20 minutes morning and evening 6 months straight (according to researcher after doing this type of massages you can expect to START seeing some results from 6 months onward), and then just gave up as I had big lifestyle changes all at once, so couldn't manage it. I don't want to go into detail of how it works, so google for yourself, but I strongly believe it halt my hair loss progression a bit. Years went by and I slowly started loosing more and more hair until eventually in December 2018 (that's when I began my research 24/7), when I was full blown NW5a I decided to do something about it. To keep it short, you can read my other thread on here. While I was doing some treatments, I was also heavily researching (when I say heavily, I mean - on the way to work, at work, at lunch brake, on the toilet after lunch, on the way back home, the rest of the evening, almost all weekend) Hair Transplant surgeons until end of November 2019 when I made my decision. More on that below. In this post I didn't want to go into much details (nobody would really read it for 3 hours straight!), so I kept it nice and short with my main candidates. Day 0 27.01.20 - Trip to Portugal. Quick flight from London to Porto about 2 hours. Afterwards got an Uber from airport and in 25 minutes already in my hotel 1 minute away from the clinic! Booked via Booking, quite cheap. Plenty of options. Easy task. Day 1 28.01.20 - Quick breakfast and 07:30 am @ the clinic. First impression - Super early! The whole clinic looks like closed except of Dr. Ferreira's part. In the building company Rejuvie are offering things like Aesthetic/Antiaging/Dental and many other treatments. However, don't be fooled! Dr. Bruno has his own part on ground floor where he designed everything himself from consultation room to OR. There's no other things going on in there but Hair Restoration done by Dr. Ferreira. I met his lovely team consisting of 3 nurses and Dr. Bruno himself and been directed to patients room, which is dedicated only for patients himself. They gave me a key of the door, so I wasn't worried about my belongings being there while having my operation. One of the nurses Ricardo (btw, this guys is absolutely amazing! He will take care of you every second you spent there and you will feel like you are a super star!) gave me a surgical "uniform" to change right away and shortly after Dr. Bruno came to see me to discuss procedure. Obviously while waiting I managed to snap a quick photo We discussed bits and pieces, signed needed paperwork and headed to the other room for a photo shoot. Dr. Bruno took quite a few pictures and we started planning hairline design. It took a good 15 minutes or so to finalise it. I was actually quite amazed of his attention to detail! Not a typical hairline done in 2 seconds like you see in many videos from Turkey hahaha After he showed me his final proposal I didn't even want to change a thing. It looked perfect! Now when I'm thinking it's probably because I didn't see any hairline for years , but his final design after careful examination of my facial structures was looking amazing. Afterwards we buzzed my hair completely, made some more pictures, Dr. Bruno took measurements of recipient and donor areas and we headed to the other room "on the table under the knife". As I'm writing this post I don't have any pictures made by Dr. Ferreira, so once I've got them I will update this thread. Procedure The Plan - extract and implant around 3500 grafts over 2 days Tools used - Lion Implanters, Motorised 0.85mm punch, Manual 0.85mm punch (and probably smaller, not sure, Sorry! ) (more information coming soon) Implantation approach - pre-made incisions + Implanters for the hairline and the rest using Lion Implanters alone (picture attached) Area to cover - 75 cm2 Future hair transplant area to cover (crown & mid scalp) - 75 cm2, approximately 1500-2000 grafts (more information coming soon) Donor area - around 10,000 extractable grafts, lots of multiple units (more information coming soon) Hair shaft diameter - 51 micron Picture below shows all extractions updated live by nurses on the screen next to the operation table. Now, it might look like a lot of grafts for such small area, but because my hair shaft is quite thin (~51 microns), I would need more hairs/cm2 to have great coverage. Everything started from Anaesthesia which to my surprise was almost pain-less! Dr. Bruno was using his fingers to gently massage the area while slowly inserting the needle and to my surprise that was incredibly pain-less. I asked him how is that everyone is talking about how the most painful part is anaesthesia and I almost didn't feel a thing, he replied "I'm just being very gentle". That's when I realised the difference between caring surgeon and money-making-minded surgeon. Anyways... Back of my head numb in few moments and we jumped right into extractions. The feeling of that.. Like a very quiet clippers. I kind of liked the way it feels hahaha (i guess I'm weird ). No pain. Dr. Ferreira used 0.85 mm motorised punch only because after examining my donor turned out a lot of grafts are placed almost in a straight line (e.g. 4 hair graft is not in a bunch, but in a line), thus covering bigger area, thus larger punch is needed. After all extractions been done we still had a little time before our food arrives, so Dr. Bruno decided to do some incisions for the hairline BTW selection of food was solid! Fish, Meat, Veg, Soup, Drinks, Dessert... I asked if it's possible to get Freshly Squeezed Orange Juice and turns out it was not a part of the deal, but to my surprise they got it for me! While extractions went like a knife through butter, Implantation part was quite difficult and it took much longer than expected. I had a lot of popping due to my elastic skin (damn you Detumescence therapy I guess! ) and excessive bleeding. Dr. Ferreira used "every trick in the book" (that's what he said haha) to manage the situation and by the end of the day everything looked promising. Post-op instruction and back to hotel... Had a great night sleep, 0 pain. Woke up just 2 times, so I used that opportunity to spray saline solution as per Dr.'s instructions. Day 2 29.01.20 - Arrival to clinic at the same time 07:30 am. Quick check up, donor wash and right into the action. Dr. Ferreira decided to change his approach to make implantations much smoother and avoid complications. The Plan - extract ~500 grafts and implant them immediately Total extracted grafts - 3611 Total extracted hairs - 9861 Total ratio - 2,73 Pardon me, I didn't make a picture of "Total" page! Hopefully will receive this information soon from Dr. Ferreira and will update this thread. Overall day 2 was sooooo much smoother! The new approach Dr. Bruno decided to take this day worked like wonders! Almost no popping and no excessive bleeding. Conclusion I was extremely impressed by Dr.'s adaptability to situations. Taking different approaches "on the go" to control the process. I didn't even realised at first that he was using manual punch until one moment I was like "waaaaaaaaait a second.. Something is different!". No sound, just pure manual rotating movement. I asked Dr. Bruno - "Are you using a manual punch?" to what he replied - "yes, in some places it's easier to get into with manual punch". The right tool for right situation. How about that? Anyways, here's some post-op pictures. I will keep updating this thread until final result. Also, once I've got a good quality pictures from Dr. Ferreira I will update that here. Please feel free give me your opinions! I'm super excited to finally get it done (especially the fact that I can see my hairline hahaha ).
  2. Hi everyone, i'm sharing this because I'm feeling blue and I don't really trust my clinic any longer...it's a Clinic in Spain and I'll share the name after 18 months, whether the results will be good or bad. This is the situation. When I underwent puberty, 20 years ago, my forehead assumed a very weird shape, due to some issues related with hormones and maxillar development. Needless to say, it created a lot of discomfort every time I was swimming, or even walking on a windy day. Last year then I found a clinic which was offering HT at a very good price. It was a case of forehead lowering, and the doctor said my case was an easy one. She said she would transplant 2000 follicles in my temples, but there's no knowing now. Anyway, I'm posting here the results after 7 months. No wonder I'm quite sad about it. She says that it's evolving well, but a bit slowly, and she suggested taking Minoxidil, which was never on the table and I'd rather not take, because I never suffered from alopecia, and I know it might have a rebound effect of I stopped taking it. What I 've noticed is that the transplanted hair basically stopped growing in February or March, and I don't know if it's because I'm a slow grower (I'm 42) or this is more or less what it's going to be. What do you guys think? And what about the minoxidil? thanks
  3. Hi, My name is Akash, I am from India, I had a HT surgery (9weeks back). I just wanted your honest, clear cut opinion about a query I have and it would be very kind if you can spare a few minutes to respond to my query. During my surgery (9 weeks back) I was told by the doctor that I have a very hard skin and there is a popping effect (when they were trying to insert one graft the surrounding grafts were coming out), and after 9 weeks now I can see that most of my grafts (specially in the temporal area) have neither grown nor shed. I am very worried as I read that shedding normally occurs after 1-5 weeks of the transplant, and also heard from a youtuber that if transplanted hair doesn't grow or shed within 3-4 months then they are as good as dead and new hair won't come out from them. Please can you confirm this?, if it is true then my transplant most probably has failed. And, is there any way to soften scalp skin, in case I go for a 2nd transplant in the future. Regards, Akash
  4. Hi follicle friends. I've decided to go ahead with a transplant surgery. It will be my first one. I'm based in Canada, not far from Rahal's clinic but also open to traveling to Vancouver to do my surgery with Hasson. I've narrowed my decision to these two surgeons based on the research I've done, the feedback on these surgeons in these forums, and because I prefer to do this in my own country. I'm 42 and think I'm a norwood 4. I've been taking propecia for over six years though had a few breaks along the way. About 8 years on monoxidil also had a few breaks along the way. My hair loss has slowed down significantly since I started loss prevention, but hasn't halted altogether. Late last year I considered throwing the towel in and shaving my head, then I considered SMP and while researching that I watched a few videos of people's HT surgery results and was blown away by how natural the hairlines looked and I changed my mind and here I am. I've since started dermarolling, just ordered some Saw Palmetto extract and I've been taking Resveratrol for about 10 months which isn't well known for helping with hair loss... but I think it will help more than most people realize. Next week I'm meeting with two surgeon reps. One for Rahal, one for Hasson & Wong. I'm going to make a decision between the two clinics and book my surgery for later this year. What's on my mind ahead of the meetings: 1. Is my donor area in good shape? I wear my hair short and it's in a fade. My hair is going grey so it's looking lighter 2. The mid scalp is really weak and I know you guys call the crown area a black hole for grafts but the area in front of the crown is an area of concern for me, along with: 3. Hairline and receded temples - I'm going to see what the surgeon reps think I should do here but my priority is for it to look natural and better frame my face 4. FUT vs. FUE - this is my biggest conundrum, the classic internal debate. I really want to avoid the strip scar because I like to keep my hair really short on the back and sides (0.5 to 1.0 buzzcut length as a fade). However the price difference is very real and I've been impressed by some results I've seen of 2nd surgery FUE grafts being placed into the 1st surgery strip scar, and SMP work in and around the scar too. 5. Planning for the future - at this stage I'm really hoping to have a one and done surgery but a lot of people say they started with that in their minds and then did one or two more after that so I'm trying to be realistic about what I'll want to do in the future. However I stick to where my head is at now, it'll be one surgery and be diligent with loss prevention and if loss continues, shave and add SMP and go with the super short stubble head look. I'm keen to hear from others who were trying to decide between Rahal and Hasson and what tilted you to either one. Any advice on questions I should ask the reps when I meet with them?
  5. The index patient was 39 years old. His details are: Hairline augmentation required Grafts done: 2500 Donor site: scalp donor Donor quality: Good Hair calibre: Good Package opted for: Exclusive package with Dr. Pradeep Sethi Extraction done by: Dr. Priyadarshini Das Below are his results after 5 months.
  6. Hi, Its been 7 days after my FUE hair transplant and everything went good. But after my 3rd hair wash I started to see some more white/yellow liquid kinda things around my transplanted hairs, I know scabs and crust appear, but i want to confirm from educated people here with their opinion, please tell is it scabs or something else. I observed after hair wash these things looks more and pop out but later it dry out and doesn't highlight that much but still can be seen if look closely. Some hairs can also be seen in hand when you rub a little, so is that also okay or is it a sign of something. Please tell with the help of attached images that the white thing/liquid surrounded my hairs are crust/scabs or should I worried and also is it fine to have these hair fall out like this during gentle rubbing. Please zoom as it gives more clarity.
  7. Hey all, My names Sam and I would firstly like to thank all those who contribute to this forum and host it. I really appreciate this and wish to thank you personally! I have been loosing hair since age 17 stupidly first with the use of anabolic steroids. This later connected to natural balding which is hereditory for me albeit happening much much slower. I am on Minoxidl now and have taken finasteride but got all side effects including impotency and severe depression. Im looking to take it again if it means I can keep my hair after HT maybe at half dose first. ill still get nowhere in life without hair in my 20s. Im currently 25. Hair loss basically destroyed my life, It caused a sharp personality change and I fell inlto a dormant stage in life with 0 self esteem for 8 years now. I think I would sit between Norwood 2 and 3. Things have now perfectly alligned to allow me to complete my dream of looking young again. Ive lost 26 kg of sadness weight that ive carried for so long and am eagerly looking forward to hair restoration to seal the deal and get my life back. I am thinking that I am an ideal candidate for FUE. I have thick black slightly wavy hair of southern european type and am of a mid dark complexion. Also I seem to have a very thick donor area and dont have excessive hair loss yet, just enough to make it akward in the wind, and that i cant style it nicely. I am thinking of going with doctor Cinik and paying for his flagship service DHI Service. His clinic has been great in answering questions thus far and seems to get good results. I am hoping to have a full head of hair after one FUE session again am willing to take all meds to retain hair. I am guessing I need 3500 grafts for thick dense hair what do you guys think? I am thinning on temples and crown and have attached images. I REALLY appreciate youre feedback and help. thanks, Sam
  8. Hi, I am 30 years old. Have lost the frontal hairline and it is going back day by day. Pretty much like this but mine is worse The above thread prompted me to post my doubts here. So, I visited few of the surgeons from this list https://www.hairtransplantnetwork.com/Consult-a-Physician/surgeon-list/IND/India Darling Buds and Medispa and many other renowned surgeons who are not on the list but people have achieved great results from them. Everyone suggested me around 2500-3000 grafts. All of them were doing the transplant using FUE technique and gave one PRP session along with the transplant. Here are my doubts- 1. I met many patients who came for follow up visits in their clinics. Almost everyone said that they were told say 5000 grafts but in reality the grafts injected were way too less i.e. they didn't get the required density. Any way to make sure that one gets what he has paid for? Someone else has same doubts 2. Everyone said that the surgeon constructed the hairline in the front and the rest of the work was done by their staff. Shouldn't the surgeon do all the work here? 3. All hospitals told me that the existing hair line receding and hairfall will stop after the PRP session which is done at the time of the surgery. But they were mum when I asked that if PRP is that effective then why isn't it recommended in place of propecia or finasteride? Also why isn't the same FDA approved? They had no answers. Any thoughts? This is my biggest concern. 4. All the surgeons listed on this website are super expensive. No one charges for per graft in reality but they have made packages. If one opts a surgeon which is not a member of ISHRS or IAHRS, just on the basis of results of other people, then is there any parameter which one should keep in mind while selecting them? 5. Is it true that DHT does not affect the transplanted hairs? If yes then why? 6. Is it true that in extreme cases even the transplanted hair doesn't grow or they also recede with time? Please enlighten me with any other points which one should keep in mind while selecting a surgeon, pre and post surgery. Thanks
  9. Hello, I’ve done HT FUE 5000 grafts and after 1 week of the HT I’ve noticed hair shock loss I am really concerned can’t wait to see a difference I am taking all vitamins and also Minxdol 5% here are the pictures after 1 month but honestly I’ve scratch my head a little and hair fall down. Please advise me
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