Regular Member Haircharity34 Posted August 16, 2016 Regular Member Share Posted August 16, 2016 I've done a good bit of research online but I still haven't concluded whether it'd be best to go with FUE or FUT for my initial HT. I'm 32, Norwood 6. I've attached 2 photos. One shows my current baldness and the other shows how I'd wear my hair if I had it back. Incidentally, due to budget constraints, I've got my eyes set on various doctors in Turkey/India (not the US). Any thoughts are most welcome! Link to comment Share on other sites More sharing options...
Senior Member Speegs Posted August 16, 2016 Senior Member Share Posted August 16, 2016 Given your advanced hair loss, FUT will more efficiently harvest larger donor strips, be more cost effective, and likely yield greater growth results. Graft transection is less common with a strip than with attempting to harvest a large amount of grafts via FUE. Reality is you're going to require at least 6000 graft to get coverage for what you have, and it will likely take two or three procedures to do it. Hair loss patient and transplant veteran. Once a Norwood 3A. Received 2,700 grafts with coalition doctor on 8/13/2010 Received 2,380 grafts with Dr. Steven Gabel on 9/30/2011 Received 1,820 grafts with Dr. Steven Gabel on 7/28/2016 Link to comment Share on other sites More sharing options...
Senior Member MrGio-WHTCClinic Posted August 16, 2016 Senior Member Share Posted August 16, 2016 I would first have a scalp analysis and a density check. My opinions are my own. I am one representative of MyWHTC Clinic's European branch. Consultation Dates & Cities for Dr. Patrick Mwamba London, United Kingdom - Available (Sat.) Zurich, Switzerland - Available (Saturday) Bologna, Italy - Available (Saturday) Brussles, Belgium - Available (Sun.-Sat.) *No Fee* Dr. Patrick Mwamba is a member of the Coalition of Independent Hair Restoration Physicians Link to comment Share on other sites More sharing options...
Dr Blake Bloxham Posted August 17, 2016 Share Posted August 17, 2016 I think you'd be better served by the FUT approach. Mr Gio is correct too; you should undergo evaluations in person. Good luck! Dr. Blake Bloxham is recommended by the Hair Transplant Network. Hair restoration physician - Feller and Bloxham Hair Transplantation Previously "Future_HT_Doc" or "Blake_Bloxham" - forum co-moderator and editorial assistant for the Hair Transplant Network, Hair Restoration Network, Hair Loss Q&A blog, and Hair Loss Learning Center. Click here to read my previous answers to hair loss and hair restoration questions, editorials, commentaries, and educational articles. Now practicing hair transplant surgery with Coalition hair restoration physician Dr Alan Feller at our New York practice: Feller and Bloxham Hair Transplantation. Please note: my advice does not constitute as medical advice. All medical questions and concerns should be addressed by a personal physician. Link to comment Share on other sites More sharing options...
Senior Member JON86 Posted August 17, 2016 Senior Member Share Posted August 17, 2016 I just had an fut and it was not the horror story people say it is. You just need to find the right doctor. Someone that is class 6 should probably do fut to get the most grafts you can. Link to comment Share on other sites More sharing options...
Senior Member ontop Posted August 17, 2016 Senior Member Share Posted August 17, 2016 Can you post a picture of your donor? Link to comment Share on other sites More sharing options...
Regular Member Haircharity34 Posted August 17, 2016 Author Regular Member Share Posted August 17, 2016 Thank you all so much for the replies. I should've solicited these opinions a month ago! All of the doctors I've zeroed in on overseas exclusively do FUE. I feel like it's back to the drawing boards. Does anyone here know of highly reputable FUT surgeons that are affordable and/or overseas? But just curious, what kind of a difference are we talking about on average between FUT and FUE in terms of graft survival? Is it really significant? Are we talking more than 20%? Link to comment Share on other sites More sharing options...
Regular Member Haircharity34 Posted August 17, 2016 Author Regular Member Share Posted August 17, 2016 I had a little trouble getting pictures of my donor; here's the best I could do. I think my donor is decent, though I don't have an accurate count. Link to comment Share on other sites More sharing options...
Senior Member Speegs Posted August 17, 2016 Senior Member Share Posted August 17, 2016 Thank you all so much for the replies. I should've solicited these opinions a month ago! All of the doctors I've zeroed in on overseas exclusively do FUE. I feel like it's back to the drawing boards. Does anyone here know of highly reputable FUT surgeons that are affordable and/or overseas? But just curious, what kind of a difference are we talking about on average between FUT and FUE in terms of graft survival? Is it really significant? Are we talking more than 20%? An elite surgeon can give you 90 to 95 percent graft survival with FUT if you take care of the grafts in post op as they tell you to do. Whereas even elite FUE surgeons like Feller will tell you that 70 to 75 percent graft survival is not an uncommon result for a large FUE procedure. Careful surgeons don't like to exceed 1500 with FUE per session, it's a very laborious process, the grafts stay out of the body longer, and there is more opportunity for transection...all the more reason to shy away from a large FUE procedure. To satisfy your present hairloss, my unprofessional estimate is that a 5,000 to 6,000 graft case is at hand for you, probably broken into two separate procedures. You do appear to have a nice donor area, however. Hair loss patient and transplant veteran. Once a Norwood 3A. Received 2,700 grafts with coalition doctor on 8/13/2010 Received 2,380 grafts with Dr. Steven Gabel on 9/30/2011 Received 1,820 grafts with Dr. Steven Gabel on 7/28/2016 Link to comment Share on other sites More sharing options...
Senior Member Speegs Posted August 17, 2016 Senior Member Share Posted August 17, 2016 PS get on finsteride and try out Viviscal Professional, and do it promptly to try and stunt any further hairloss. Another two or three years and you'll be Patrick Stewart if you don't. Hair loss patient and transplant veteran. Once a Norwood 3A. Received 2,700 grafts with coalition doctor on 8/13/2010 Received 2,380 grafts with Dr. Steven Gabel on 9/30/2011 Received 1,820 grafts with Dr. Steven Gabel on 7/28/2016 Link to comment Share on other sites More sharing options...
Senior Member DavidAnderson Posted August 18, 2016 Senior Member Share Posted August 18, 2016 You have an advanced pattern of loss and you crown has opened up, your hair around the nape of your neck looks fluffy and would suggest thinning here. FUE is not going to give you more than a frame to your face and some coverage into the mid scalp. There will be places abroad as you mention that will pull 4000 grafts in one session from your donor but what the donor will look like after is a guessing game and whether all the grafts will last the journey as they will have to sail close to the nape hair and crown to get that many. The advantage of going FUE in your case is of course the ability to be able to wear your hair short sides and back. As long as the donor area is not over harvested it can help as it will reduce the amount of hair sides but in my view anymore than 3500 grafts would over harvest your donor with FUE. Your are likely to get more grafts with FUT unless you have a very tight scalp, if you have good laxity and density you could pull 3500 maybe more in one session and have the potential for another in the future albeit smaller size. You have so much hair in the lower part of your crown that could be saved by meds alone. Which ever way you go I would be realistic and expect the crown to always have a very light coverage if any. Agree with others see some Doctors in person that offer both methods they should be able to show you the hairline position and coverage with each method used. Better to be prepared than to fly overseas and have a shock because what you wanted is vastly different to what can be achieved, as once you are booked that day you will feel a pressure to do the surgery even if you are uncomfortable with what is being suggested. Senior Patient Advisor for Dr Edward Ball of The Maitland Clinic. My opinions are my own and do not necessarily reflect the opinions of The Maitland Clinic. Formerly Garageland of Hasson & Wong with 20 years of history in Hair Restoration. Meet with myself for a free consultation and advice in London on June 21st 2018. Link to comment Share on other sites More sharing options...
Administrators Melvin- Admin Posted August 18, 2016 Administrators Share Posted August 18, 2016 Ahh the old FUE or FUT question, really I agree with what David has to say, 4,000 grafts in one sitting is not a good idea, I chose FUE I have had a total of 4,000 grafts, I split the procedures up in to two separate procedures its really the best way to go. Personally, I do think there are some benefits to FUT, you can harvest more grafts in one sitting and its cheaper, with that being said, FUE is a great procedure, the biggest plus is being able to wear your hair short, what this means for guys like you and me is that you soften the contrast between the top and sides, I have very coarse thick hair so when my sides grow out they look bushy which in turn makes the top look thin, I have uploaded some HD pictures of my donor area taken just a few days ago so you could see what a donor area could look like after 4,000 grafts extracted. Do you ever plan to wear your hair short? Do you want the option to buzz down (not shave)? if you answered yes to any of these questions then FUE is the way to go, if you don't ever plan to wear your hair short and you wont ever buzz down then FUT is the way to go. I’m a paid admin for Hair Transplant Network. I do not receive any compensation from any clinic. My comments are not medical advice. Check out my final hair transplant and topical dutasteride journey: View my thread Topical dutasteride journey Melvin- Managing Publisher and Forum Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q&A Blog. Follow our Social Media: Facebook, Instagram, Linkedin, and YouTube. Link to comment Share on other sites More sharing options...
Senior Member 1978matt Posted August 18, 2016 Senior Member Share Posted August 18, 2016 Agree with David. No one on this board can solve your dilemma. Best to visit 2 or 3 high end doctors who offer both FUE/FUT and get their opinions. Konior, Ron & Paul Shapiro, Feller, Gabel, Cooley, H&W etc. With a high end doctor who knows how and when to do strip you shouldn't really end up with a scar wider than 3 or 4mm. Take what you can get through FUT unless you have poor laxity. You can always do a final FUE which also involves putting some grafts into the scar if required. With a bit of luck you could do 3 sessions of, 3500, 2000, 1500 (FUE) for 7000 grafts total. All depends on density and laxity. Multiple FUE cases on high NW tend to work best on people with large high-density donor areas. 4,312 FUT grafts (7,676 hairs) with Ray Konior, MD - August 2013 1,145 FUE grafts (3,152 hairs) with Ray Konior, MD - August 2018 763 FUE grafts (2,094 hairs) with Ray Konior, MD - January 2020 Proscar 1.25mg every 3rd day Link to comment Share on other sites More sharing options...
Senior Member ontop Posted August 18, 2016 Senior Member Share Posted August 18, 2016 More hair you got to move FUT would be more beneficial & cost effective,but only work on zone 1,2 & 3 @ this time. Like matt said, go & seek top doctors & get there input then weigh things up. Good luck Link to comment Share on other sites More sharing options...
Senior Member n00b Posted August 19, 2016 Senior Member Share Posted August 19, 2016 I have very coarse thick hair so when my sides grow out they look bushy which in turn makes the top look thin, I have uploaded some HD pictures of my donor area taken just a few days ago so you could see what a donor area could look like after 4,000 grafts extracted. Hi HTsoon Do you happen to know the thickness of your donor hair? Link to comment Share on other sites More sharing options...
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