Dr. Keser, FUE, 2500 Grafts Ongoing NW Va

[Martin28]

Hello everyone ,

 

I opened this Thread to share my hair restoration experience with you all.

 

Situation:

My age is 30. Hairloss started noticeable around age 25.

I don't know anyone in my family who also has hairloss.

I do not take any medicine like Finasterid or Minoxidil. My decision was to not take any medicine (which you must take for life) and if the hair loss gets worse the idea was to make a hair restoration if a good result can be expected.

 

Over a half year I informed me very well about hair loss and hair restoration until I decided to make a hair restoration because of the progressing hair loss.

 

See the attached pictures for the current state of hair loss.

I have diffus hair loss on top of my head and it looks like I'm an ongoing NW Va.

 

FUE hair restoration Dr. Keser Ankara / Turkey

After comparing all advantages/disadvantages of FUE/FUT I decided to have an FUE hair restoration.

Dr. Keser from Ankara in Turkey estimated the number of grafts by analyzing the pictures given in this thread:

2500 grafts in the first hair restoration

and maybe another 1500 grafts in a second hair restoration next year.

 

The date for my FUE hair restoration by Dr. Keser in Ankara is planned at the beginning of March 2013.

I will write down my experience and upload updated pictures here.

 

Best regards

Martin

 

For opinions and recommendations regarding my case and my planned hair restoration I'm very thankful.

I will post the results by end of March 2013.

Edited February 7, 2013 by Martin28
Wrong information corrected

[Sean]

Thanks for sharing Martin. Can't wait to see updates on your case. Please keep us updated. I also would like to know how many hours your surgery of 2500 grafts will take and if a manual punch will be used. From what I have seen, Dr. Keser does great work.

[stinger99]

thanks for posting martin, i cant wait to see your results. do u live in turkey? what will be the cost? manual punch? o ne day session? thx

[Martin28]

Hi ,

Costs will be 3,50 Euro per Graft. I don't live in turkey, I'm from Germany. Manual punch (according to Dr. Keser's webpage, he uses punch sizes from 0.7 to 0.9mm), no micro motor.

 

The surgery of about 2500 grafts is splitted and will be done on four days. As I know Dr. Keser transplantates a maximum number of 700 grafts per day.

I will upload the results and update pictures every month.

For opinions and recommendations regarding my case --> thank you in advance.

Edited February 11, 2013 by Martin28
Punch sizes added

[Mickey85]

Big fan of Keser's work. Safe amount of extractions per day and manual punch. Killer hairlines also.

[Martin28]

The work of Dr. Keser looks great . But I think my case will be very interesting because there are no or not many documented cases of Dr. Keser with high NW status like my situation.

[stinger99]

700 graft per day only. 4 day procedure for 2500......wow ok, this is good to know as i was sure that dr keser does 2500 in one day, max 2. i would have never thought 4 days to do 2500 grafts, thats crazy. i would not be able to endure a procedure over 4 days. best of luck. question: did u consider other HT surgeons n turkey such as dr eser and dr hakan?

[Martin28]

2500 Grafts in one or two days!?! Thats quite a lot for FUE, especially by manual punch (I would never do micro motor). No, Dr. Keser would never do 2500 Grafts in one or two days, as said as I know max. 700 grafts per day. I'm one week in turkey, 4 days for operation and 3 days for recovering, from business I'm on holiday for one month, thats no problem for me. I have not considered other HT surgeons in turkey.

 

How I decided to do the HT by Dr. Keser:

I'm active in the german forum for hair restoration over half a year. Dr. Keser has a very good reputation in the forum, all of the members how have done the HT by Dr. Keser where very satisfied with the result. Dr. Keser has very much experience (do FUE since a very long time) and transplantate all grafts by himself. I also have a talk to a german hair restoration consultant, Andreas Kraemer, where my situation was evaluated and also get very good advice from there. At this point a special thank to Andreas Kraemer for all support from him.

He also advised me to Dr. Keser (after talking about my conditions and expectations I have), he was personally in Ankara and have a look of Dr. Keser's work. And finally all results that are on the web from Dr. Keser impressed me really, although there are no documented cases from Dr. Keser on the web with higher NW status like mine, so I think my experience documentation in this thread would be very helpful.

 

Thank you for the best luck

Edited February 13, 2013 by Martin28

[Raphael84]

Great documentation Martin. I look forward to seeing how things progress. Wishing you the best of luck!

[krapok]

Hey Martin28. Thanks for posting here. I hope you keep posting here when you have had operation with Dr. Keser. I'm really interested to see how you are healing, how big area is going to be covered and how your results turn out finally. Maybe i'm having surgery with him too this year in summer. Results what i have seen by him in internet amazes me a lot and i believe Dr Keser is the right choice.

 

Dr. Keser does 650-800 grafts per day, maximun 3000 per session to guarantee the quality of the transplant. No rush here in my opinion and this is good only! If some people tell that they are not be able to endure a procedure over 4 days then i would say against this what they really want finally? Do they want nice head of hair or they wanna have crap hair and later wanna repair bad surgery (rushing = not so big survival rate of grafts in my opinion)? If transplant doesn't come out good then you have wasted grafts (grafts are limited!!!), money, time + you have put a lot of emotions and hope to the hair transplant and if your hopes suddenly go broke then you are not happy at all. So, 4 days surgery is nothing if you can have rest of your life nice full head of hair. This is the most important thing to me.

 

Martin28, just wanted to ask do you focus on your transplant at the moment on whole of you balding area or you wanna do first frontal part with 2500 grafts and on your second surgery you are going to fix rest of your balding area with 1500 grafts? What kind of hairline do you wanna have? Do you wanna have nice rounded/flat hairline or you are going to have U/V shape hairline? Have you discussed this with dr Keser? Maybe you have drawn hairline on you pictures (or even face with marker and later captured this with camera) what kind of hairline you are expecting to have? I like nicely rounded (or flat) hairlines. U or V shape hairlines doesn't look good in my opinion. But i understand that nicely ronded hairlines requires more grafts.

[stinger99]

thx martin for your response and i find it very interested about how dr keser approaches fue. i have read about another turkish doctor on this forum, dr eser and she apparently does 4000 fue grafts in one day. i find it hard to believe but aparently it is true. i know the top fue docs in belgium do 2000+ grafts in one day session and they are manual as well. so i was a little surprised when you said dr keser does max 700 per day. but i get the approach and if it provides minimal transection good yield and top results, then i agree with krapok that it is certainly worth it. please keep us posted and goodluck,

[Martin28]

Thanks for your posting krapok. It would be interesting for me what your NW status is and going to be and how many grafts Dr. Keser estimated for you. I agree with you with all your points you have written.

Regarding your questions:

The only information I get from Dr. Keser is the graft estimation by having a look at my pictures I sent him (how are also posted in this thread). I have not discussed with him the hairline design and what is the plan/idea in which areas to transplantate first or cover the whole balding area and then add density later if needed.

 

My expectation is to look better than now after the first operation of 2500 grafts. In the planning it should be taken into account that I will lose all my native hair on the top (NW Va or NW 6 --> long-term planning) and the permanent shockloss risk of native hair that may occur because of transplantating into existing, "weak" native hair. I don't want to look exactly like now or even worse than now after the first operation if all transplantated hair grows on, but on the other hand all existing "weak" hair fall out due to permanent shockloss.

 

I want to do most of the grafts in the first frontal part, but also some grafts in the other parts of my balding area in the first operation if appropriate. But all these questions you asked I need to discuss with Dr. Keser before the operation, because I also don't know how "good"/ how many grafts can be harvested from my donor. I would also like to have a nice rounded hair line and a bit lower hair line because now I have a very high forehead but this depends on the analyse of my donor graft reserve and long-term planning that I turn into a NW5a or NW6 over the time.

I will upload post op pictures and then every month update pictures.

[krapok]

Hey. I think i have NW4a-5a as well. I don't believe that i get higher NW status but who knows the future. In my opinion my father has the same hairloss pattern like i have. Hairloss is from hairline to crown area but crown area itself (viewing back) is strong.

 

If i look at your pictures then i think i have quite similar hairloss. This is the reason why i like to see your results I think i'm going to make topic about my hairloss as well when i'm getting closer to the date of hairtransplant.

[srdonjuan]

From what I've been able to find it looks like Dr. Keser does some really good work. I'm looking forward to seeing the results and hearing about your experience..keep us posted.

[Martin28]

Thank you for your replies and feedback. I will post post op pictures approximately in 3 weeks and a report about the HT.

Here are some pictures of my hair style from earlier days where I was not suffering from hairloss / where I was satisfied with my hair status.

First picture is from summer 2005, the other two pictures are from 2007 (one styled and one directly after getting out of bed ), where I had blond highlights but only on top of hair.

[Martin28]

Experience Report HT by Dr. Keser 2500 Grafts over 4 days

day 1: 600 Grafts, day 2: 650 Grafts, day 3: 650 Grafts

day 4: 600 Grafts

 

I returned from my HT performed by Dr. Keser in Ankara/Turkey and I'm so far very satisfied with all. Pre- and Post OP pictures uploaded in this entry.

 

The 2500 Grafts were placed in the front and temples. The front was densified and I was told that if all of the existing hair fall out, I would need another front densification for full density. I must say I have expected that with 2500 grafts a larger area can be covered with good density, but unfortunately this seem not to be right.

 

On the first day the graft placement and hairline is discussed with the patient and immediately drawn on head., hair is washed and the HT is started. Duration of the procedure very OP day approximately 4-5 hours with some breaks. The injections are a bit painful, but good to sustain. During the procedure itself I had no or only a bit pain, but as you notice pain you need to talk to Dr. Keser then you get another injection and then mostly everything is fine and without pain. I was wondering because it was not so painful as I expected.

You get antibiotics and painkillers from Dr. Keser. I needed the painkillers as almost every evening after the OP I had pain, but good to sustain with painkillers.

 

During the work of Dr. Keser you really notice how good and professional he and his assistance work together. Want to thank Dr.Keser, his assistance and Mehmet (the german translator) for all !!

 

Dr. Keser advised me, like Andreas Kraemer (a german hair loss consultant), to try Propecia. I have read a lot about medication and still want to not use any medicine like Finasterid or Minoxidil. I really hope that I can handle my hair loss only with FUE hair transplanations. My expectations are not full density I'm also satisfied with less density. If it turns out to be not a good end result or something goes wrong with the HTs, I would cut off and wear my hair very short.

I saw pictures of patients who have 5000 grafts and more, I can live with the FUE scars and short hair.

 

Dr. Keser estimated my donor reserves (if it not turned out that my donor is also thinning, NW6-7) as following: I can take another 1500 Grafts the next time and another 1500 Grafts the third time if needed (so totally with the first HT: 5500 Grafts).

 

The hotel you stay in Ankara is the Savis Hotel, which I can recommend:

Very clean, friendly personal, near the centre in which you have lots of shopping opportunities/restaurants and so on. The only negative thing of the hotel is the breakfast: Sparse selection of foods and drinks and every day nearly the same breakfast. After the first two days I went to breakfast outside because I just don't want to eat every day the same breakfast.

 

I would be very thankful for every opinion and advise for my case.

Thank you all in advance .

Edited April 4, 2013 by Martin28

[Mickey85]

Keser does great FUE. Killer hairline too. Your result should be fantastic.

[Martin28]

Update: Pictures 2 weeks after last OP day.

Almost all redness gone , only one big red point on front left top side.

Edited April 4, 2013 by Martin28

[Mickey85]

Man, I'm disappointed Keser did not address certain issues upon recommendation on this forum. Looking at your donor and the recipient graft angles and direction it is clear he is a world class FUE surgeon... Seamless transition of graft direction from native hair...

[TakingThePlunge]

Amazing work! I hope you'll continue to update us. This is going to look great!

[Slickers]

This looks amazing. I'd love to see more of Dr Keser's work. And I love the hairline, hope you keep all the grafts Martin..... the signs are good. Please keep posting.

[ted.j]

Congratulations Martin28. Looks amazing.. Dr. Keser did an excellent work again. As you mentioned there are not many high number of HT surgeries posted on this site from Dr.Keser I'm looking forward to seeing the progress and the result. please keep posting.

[Martin28]

It's time for an update. Now I'm 2 months Post OP and have problems :

Before 1,5 weeks I noticed on the whole top of my head a scab, my hairs are very greasy and stick together there on the completed top of head. It's like a skin layer in yellow/brown, you can see it on the photos. My top of head is itching and I feel tenseness, but this was also directly after the HT and not stopped yet, I taught it was normal. I noticed also a lot of scurf on the hair which came from the scab.

 

I contacted Dr. Keser and was told to go to dermatologist to check it as this seems not to be common. The dermatologist looked about 10 seconds on my head and told me directly that I have an eczema on the top of the head.

He advised me to use Clarelux 500 Mikrogram which is a foam that is a strong Corticosteriod. This foam I need to put on top of head after washing and I should only wash my hairs 2 times a week. I used baby shampoo till now and switched now to Eucerin 5% Urea shampoo because of the eczema.

So far the scab of the head goes slowly away, I think with the help of the foam and also because I carefully tried to slacken the scab. On the pictures you can see the outstanding positions on the top of head which have scab --> the positions with a yellow/brown layer. As notice here: I never had any problems with my head skin before the HT.

 

My concerns are :confused:: Evertime a chunk of the scab falls off a lot of hairs fall out with it, maybe complete grafts :eek: I'm really not sure if these are complete grafts --> fall out with the chunk of scab see the pictures. I was really shocked :eek:.

 

Can you please help me with your experiences and meanings about that, maybe there are also some ht surgeons or doctors here who read this and know about similar cases.

 

Are the hairs that fall out with the chunk of scab complete grafts so that no hair will grow there anymore?? On one of the pictures I marked areas in red circles where a lot of hair came out with the chunk of scab and there is no more hair there.

Edited May 13, 2013 by Martin28

[JCTib27]

I am sorry; it seems a very difficult situation and must be very troubling. The good news is you really should not be worried about the grafts, from my understanding you can not lose a graft 2.5 months post op. (There are numerous studies on this) Really you are safe after 9 days. Therefore the most important thing to do is get the skin on top of your head healthy with the medicine you are using then wait for the hair to have a chance to grow. Did you use minoxidil? Perhaps your skin had a bad reaction to this. Regardless, good luck and hope the problem sorts out soon.

[SamSpade]

I'm not familiar with your doctor but I know all of my new grafts fell off and I had tons of scabbing that I was constantly spraying off. My understanding is that if there isn't a bulb-shaped follicle at the end, you're not losing that hair it's just shedding, and that the follicle is still under the skin for good. It's traumatic for sure, but I wouldn't jump to conclusions and keep spraying the area so the scabs will fall off when they're ready.

 

I'm not a medical expert, just relaying my experience. I'd never hesitate to call your Dr's office.