Regular Member shmutzydawg Posted August 13, 2008 Regular Member Share Posted August 13, 2008 Had the procedure done back about 7 months ago with dr. epstein. Although all went incredibly smooth the results were mediocre.I needed mostly hair on the left and right frontals while some in the middle font was planted with a new hairline. what they didnt do is pay attention to the back hairs to be removed at the time. So now what has grown in seems like a complete free for all of transplanted hairs going in different directions. Because the donor hair they too was pretty course and wavey and they didnt follow the sam e direction they flowed when they put them next to one another in the front..why do you think they would do such a thing?? Now, even though I have some hairs which dont even seem as thick as they promised. Im going to have to start to plan on one more surgery. to make the hairline a lil lower and hopefully more natural looking with more density. i think the man for this would be dr feller, who is close to where i live. i also think from what ive read about him, he could get me optimal results. id like o use dr epstein, but i dont think his staff realy paid much attention to this factor. of my hair being really course and wavey..the problem is, when the hair is short, its hard to tell hoe wild its going to get when its longer..and thats just what my hair in the back can do..do you think next time my hair should be grown long in the back and sides to really see how the hairs will grow and in what direction?? also dr feller does something called densely packed with like 5000 grafts..thats my next goal.... the first go round was 3800, which i really thought would do the trick.. right now im afraid as the hairs get longer,they are going to make my frontal fuzzy and wild in the frontal's. id say the new hairs are now about 1 3/4 " any opinions?, any other surgeons you could recommend would be helpful. thanx shmutzydawg Link to comment Share on other sites More sharing options...
Bill - Seemiller Posted August 14, 2008 Share Posted August 14, 2008 Shmutzydawg, Have you talked to Dr. Epstein about your concerns? If not, I encourage you to do so. Please also remember that 7 months is still early in the game and a hair transplant should not be fully judged until one year. A 7 month evaluation is premature. Please post some before and after photos (and immediately postoperative if you have them) of your donor and recipient area so we can get a visual on what you are referring to. I will email Dr. Epstein to share your concerns with him and I trust he will address your concerns. Best wishes, Bill Link to comment Share on other sites More sharing options...
Guest wanthairs Posted August 14, 2008 Share Posted August 14, 2008 shmutzy--- at 7 months my transplanted hairs looked like psyhotically deranged pubes... I have had the most progress AFTER month 12. you have a long long way to go.....chill out Link to comment Share on other sites More sharing options...
Senior Member hairthere Posted August 14, 2008 Senior Member Share Posted August 14, 2008 also dr feller does something called denselypacked with like 5000 grafts..thats my next goal.... the first go round was 3800, which i really thought would do the trick.. as the others have stated you have a long way to go before claiming your ht has failed or that it does not look so good. also, the above statement leads me to believe you should really dig in here and learn a bit more about hts. I am the owner/operator of AHEAD INK a Scalp Micropigmentation Company in Fort Lee, New Jersey. www.aheadink.com Link to comment Share on other sites More sharing options...
Regular Member shmutzydawg Posted August 15, 2008 Author Regular Member Share Posted August 15, 2008 okay, fair enough--will chill and wait until 9 months and then some..i contacted dr epsteins office a few months ago and they suggested waiting until at least 9 monnths before seeing him..so that is what i will do..but i can tell,,that for what i want,, i would like to see my hairline a tad lower and blend into the sides better.... i can tell there is not enough hair in those places. but ill be patient,,,no hurry really..and what is there so far is not looking all that bad one more procedure might really do the trick..and i did talk to dr. epstein about post -op thanx all for your concerns and replys and as soon as my new ubs cord arrives,,will snap some pics of before and after..do not have immediate post op pics unfortunately talk soon shmutz Link to comment Share on other sites More sharing options...
Senior Member Smoothy Posted August 16, 2008 Senior Member Share Posted August 16, 2008 At 7 months you are probably only 60=70% final. The next 2 months you should see a lot of maturity of the hairs that have already grown-more stronger and thicker shaft-- as well as maybe 10% more new growth. 12 months you should have a good sign of what the results will be BUT some paitents (not the norm) but some see growth and improvement up to 18 months. My suggestion is to wait at least 10 months, then if you not happy have a follow up consult w Epstein. Epstein has a good reputation and give him an opportunty to address it. The condition that you explained (if doesnt get better) sounds like a technique surgeons used in the 90's with grafts. They placed the grafts in certain angles and direction so that when they grow out they "grow over" each other thus haveing the appearance of thicker hair. But this is a very old and outdated technique. With FU grafting and improved technology, I havent heard of TOP 20 physicians doing this placement technique in over 10 years? Dr. Feller also has a good reputation. My personal bias opinion since you just need temple/hairline/frontal core work, is to have a consult with Ron Shapiro in MN. He's one of the best if not the best with proven results on hairlines. He also has done repair work as well as work on other surgeons patients for fill in. He is truly an artist with hairlines. Best of luck and give it a few more months then follow up w/Epstien and others for your 2nd refinement HT. SMOOTHY Dr. Shapiro Propecia/Rogaine xtra MSM/Saw Palmetto Nioxin Shampoo line Zrii 3oz daily Link to comment Share on other sites More sharing options...
Regular Member shmutzydawg Posted August 18, 2008 Author Regular Member Share Posted August 18, 2008 okay smoothy..will wait and also check outron shapiro...btw,,i can tell you that after 7 months..the hairs tat came in a re pretty thick and course,,as my hair all around is pretty thick and course..what i am tryin to say, is that what i think is going on, is that the back hairs when snipped right before the procedure, are really no indicaton of what my hairs will really look like and how they twist and bend as they get longer..so thats what is kinda going on in front right now...and even though it is filling in..there doesnt seem to be a smooth transition into the side areas..also the thickness of the sides seem to outweigh the front as my hair grows longer...which translates into..having what i would call a weak spot bewteen where the existing side hairs stop and the transplanted hairs begin...get my drift...? and i can tell you..there doesnt seem to be any new hair growth except for what has already came in..my hair came in pretty darn quick from what ive read here...and yes,,i have done alot of reading on this site prior to doing my procedure. i will wait however, and follow up with dr epstein in a few more months as i approach months 9-10..and i will deff consider your recommendaton with ron shapiro thanx again all and i will post pics soon shmutzy Link to comment Share on other sites More sharing options...
Regular Member condoguy Posted August 18, 2008 Regular Member Share Posted August 18, 2008 Smoothy, not sure of the technique you are referring to. Don't all the HT docs in the coalition do ultra refined FU's? Are you referring to lateral slit technique? Link to comment Share on other sites More sharing options...
Bill - Seemiller Posted August 19, 2008 Share Posted August 19, 2008 The condition that you explained (if doesnt get better) sounds like a technique surgeons used in the 90's with grafts. They placed the grafts in certain angles and direction so that when they grow out they "grow over" each other thus haveing the appearance of thicker hair. But this is a very old and outdated technique Smoothy, Can you elaborate? What you are describing sounds like shingling which is performed by using the lateral slit technique. This is not an old technique unless you are referring performing this with minigrafting. Best wishes, Bill Link to comment Share on other sites More sharing options...
Regular Member shmutzydawg Posted August 19, 2008 Author Regular Member Share Posted August 19, 2008 hi guys. im gonna have to get you some detailed pics so you can see what is going on..cant imagine dr epstein would use an old method.. but i will tell you that i can tell right now that the corners wher hairline meets the existing sides is lacking in any thickness and smooth transition.. i remember during procedure having to ask to bring the corners down to meet up with the sides so it wouldnt look like a straight line across the hairline..so what im seeing is some hairs, but not nearly enuff to make it all blend in together nicely,,thus my thoughts of having to do another go round so it all looks nice and uniform..like i said,,i will have to get u guys some pics just so you can see and make a more objective comment..hard to do by me just talking and trying to explain..will do the pics soon thanx again all shmutzy Link to comment Share on other sites More sharing options...
Regular Member Jeffrey Epstein MD, FACS Posted September 19, 2008 Regular Member Share Posted September 19, 2008 Dear Shmutzydawg- I did not get involved with this thread earlier because it was clear from the other posters (who clearly are more objective than I) that there is nothing at this point to be alarmed about at all. I am not sure who you are, but can assure you that your grafts were placed in the most aesthetic fashion, with care and caution, and that at 7 months, it is FAR too early to make any sort of assessment. That is not to say that other patients do not have impressive growth at 7 months, but that many others like you simply take longer to grow in. Be patient, as you have heard, and don't throw the baby out with the bathwater. With 3800 grafts, you should have an impressive result, one that I look forward to hearing about. And if for any reason you are that 2 or 3% of patients that do not fully grow in, you can be assured that I will replace any grafts at no charge- that is my policy, and has helped me to earn the trust of so many patients. Jeff Epstein, MD, FACS Miami and NYC Link to comment Share on other sites More sharing options...
Senior Member vincehair Posted September 25, 2008 Senior Member Share Posted September 25, 2008 Dr. Epstein what are your prices? Thank you. Link to comment Share on other sites More sharing options...
Regular Member shmutzydawg Posted October 1, 2008 Author Regular Member Share Posted October 1, 2008 I wanted to let the forum know after posting some concerns a few months back after 7 months post op..that my hair growth and fullness have been improving tremendously. I am now going into my ninth month and can honestly say that the fullness is getting better as is the hairline. I had received 3800 grafts in one session. I had next to nothing in shock loss. And the hair started to grow in, around the 3rd month.So there was no delay in that..because of the severity of loss for me in the front as opposed to the native hairs still intact,which by the way is a very full head of hair.. In order to really achieve the fullness and thickness I desire, A second session with Dr Jeff was discussed. I know you can only do and achieve so much in one session. Anyway,,just wanted to let all know how things were progressing. Please do not hesitate to write me or ask me if you have any concerns about dr Jeff Epstein..Also,any of you may ask Bill who has my before and after pics to see what my outcome is and how I am progressing.. So Bill if your reading..its okay to share my before and after pics with the gang,,Just not the facial pics i sent you from back in the 80s with the big head of hair.. Thanks all Shmutzydawg Link to comment Share on other sites More sharing options...
Bill - Seemiller Posted October 1, 2008 Share Posted October 1, 2008 Shmutzydawg's pictures are attached Link to comment Share on other sites More sharing options...
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Guest Baldie3000 Posted October 1, 2008 Share Posted October 1, 2008 Schmutzydawg, I think your results look ok so far! But 3800 grafts? I think I'd expect more since 3800 grafts were added to your existing pretty healthly looking mop. Top looks better but still kinda thin. The hairline also looks kinda pluggish I hope I didn't offend you. I'm sure it will get better! ~Baldie3000 Link to comment Share on other sites More sharing options...
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