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Question for those with 2nd HT in same area. Worth it?


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  • Senior Member

I'm wondering about whether or not you have found it worth it to get a 2nd HT into the SAME area to increase density?

 

Was shockloss bad the second time around?

 

FUE for touch up amounts, right? That's what, less than 1000 grafts?

 

Overall, was it worth it to "touch up" a prior HT ? Thanks...

3185 FUT with Dr. Rahal on 2/17/16

http://www.hairrestorationnetwork.com/eve/182611-fut-3185-dr-rahal-day-after-pics.html

 

1204 FUT with Dr. Rahal on 3/27/17

http://www.hairrestorationnetwork.com/eve/186586-round-2-rahal-1204-fut-frontal-third-same-area.html

 

---> total of 4389 grafts to my frontal third via FUT

---> 1mg finasteride daily since 1999:)

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  • Senior Member

I have SUPER fine hair -- thinking crazily about packing more in there after 12 months is up.

 

Am I being retarded? Can post pics if you'd like

image.thumb.jpeg.2e2e74d09953c4898845ea88c193710b.jpeg

3185 FUT with Dr. Rahal on 2/17/16

http://www.hairrestorationnetwork.com/eve/182611-fut-3185-dr-rahal-day-after-pics.html

 

1204 FUT with Dr. Rahal on 3/27/17

http://www.hairrestorationnetwork.com/eve/186586-round-2-rahal-1204-fut-frontal-third-same-area.html

 

---> total of 4389 grafts to my frontal third via FUT

---> 1mg finasteride daily since 1999:)

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  • Senior Member

Another one

image.thumb.jpeg.96b1b59a3c45f11f7e9e9d738eaab5e2.jpeg

3185 FUT with Dr. Rahal on 2/17/16

http://www.hairrestorationnetwork.com/eve/182611-fut-3185-dr-rahal-day-after-pics.html

 

1204 FUT with Dr. Rahal on 3/27/17

http://www.hairrestorationnetwork.com/eve/186586-round-2-rahal-1204-fut-frontal-third-same-area.html

 

---> total of 4389 grafts to my frontal third via FUT

---> 1mg finasteride daily since 1999:)

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  • Senior Member

And again

image.thumb.jpeg.19a443daf978c2b51abec2d3fdfb7cba.jpeg

3185 FUT with Dr. Rahal on 2/17/16

http://www.hairrestorationnetwork.com/eve/182611-fut-3185-dr-rahal-day-after-pics.html

 

1204 FUT with Dr. Rahal on 3/27/17

http://www.hairrestorationnetwork.com/eve/186586-round-2-rahal-1204-fut-frontal-third-same-area.html

 

---> total of 4389 grafts to my frontal third via FUT

---> 1mg finasteride daily since 1999:)

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  • Senior Member

There are some people here who have had multiple procedures trying to get close to 100% reaching their density goals, and most go at it without really over worrying about shockloss so much, as long as you're going with a reputable/recommended surgeon.

A poster named bonkerstonker who has not been active recently comes to mind and he had multiple procedures with Dr. Wong.

Bonkerstonker's Hair Restoration Website

 

past shockloss thread:

http://www.hairrestorationnetwork.com/eve/174762-shock-loss-after-touch-up-photos.html

 

The real question is do you have enough room for the larger 2s, 3s and 4s behind your hairline to accommodate the grafts, and are you ok to shave down to allow the surgeon to work in those small areas.

I have similar fine hair and there is a small spot that bothers me in one section of my frontal third, maybe one day I will have enough downtime for full shave down and some extra grafts there.

go dense or go home

 

Unbiased advice and opinions based on 25 plus years of researching and actual experience with hair loss, hair restoration via both FUT & FUE, SMP, scalp issues including scalp eczema & seborrheic dermatitis and many others

 

HSRP10's favorite FUT surgeons: *Dr. Konior, *Dr Hasson, Dr. Rahal

HSRP10's favorite FUE surgeons: *Dr. Konior, *Dr. Bisanga, Dr. Erdogan, Dr. Couto

(*indicates actual experience with doctor)

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  • Senior Member

 

The real question is do you have enough room for the larger 2s, 3s and 4s behind your hairline to accommodate the grafts, and are you ok to shave down to allow the surgeon to work in those small areas.

I have similar fine hair and there is a small spot that bothers me in one section of my frontal third, maybe one day I will have enough downtime for full shave down and some extra grafts there.

 

I'd be fine shaving down but what do you mean by "enough room"? Can you elaborate?

3185 FUT with Dr. Rahal on 2/17/16

http://www.hairrestorationnetwork.com/eve/182611-fut-3185-dr-rahal-day-after-pics.html

 

1204 FUT with Dr. Rahal on 3/27/17

http://www.hairrestorationnetwork.com/eve/186586-round-2-rahal-1204-fut-frontal-third-same-area.html

 

---> total of 4389 grafts to my frontal third via FUT

---> 1mg finasteride daily since 1999:)

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  • Senior Member

Just to note, I still have 5 months left til 1 year mark of my 1st HT.

 

So there's that. Plus I'm thinking of stopping 1% nizoral 1-2x per week.

3185 FUT with Dr. Rahal on 2/17/16

http://www.hairrestorationnetwork.com/eve/182611-fut-3185-dr-rahal-day-after-pics.html

 

1204 FUT with Dr. Rahal on 3/27/17

http://www.hairrestorationnetwork.com/eve/186586-round-2-rahal-1204-fut-frontal-third-same-area.html

 

---> total of 4389 grafts to my frontal third via FUT

---> 1mg finasteride daily since 1999:)

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  • Senior Member
I have SUPER fine hair -- thinking crazily about packing more in there after 12 months is up.

 

Am I being retarded? Can post pics if you'd like

 

Hi Ernie,

 

May I ask whether you know the caliber of your hair?

From the pics, it looks to me that you have good hair thickness.

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  • Senior Member
Hi Ernie,

 

May I ask whether you know the caliber of your hair?

From the pics, it looks to me that you have good hair thickness.

 

I don't have any specific numbers, but in-person Dr Rahal referred to my hair caliber/thickness as "rather fine" :-(

3185 FUT with Dr. Rahal on 2/17/16

http://www.hairrestorationnetwork.com/eve/182611-fut-3185-dr-rahal-day-after-pics.html

 

1204 FUT with Dr. Rahal on 3/27/17

http://www.hairrestorationnetwork.com/eve/186586-round-2-rahal-1204-fut-frontal-third-same-area.html

 

---> total of 4389 grafts to my frontal third via FUT

---> 1mg finasteride daily since 1999:)

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  • Senior Member
I'm wondering about whether or not you have found it worth it to get a 2nd HT into the SAME area to increase density?

 

Was shockloss bad the second time around?

 

FUE for touch up amounts, right? That's what, less than 1000 grafts?

 

Overall, was it worth it to "touch up" a prior HT ? Thanks...

 

I would love to hear some more first hand answers to these questions, thanks.

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I'd be fine shaving down but what do you mean by "enough room"? Can you elaborate?

 

Hi Ernie,

Looks like you had a great procedure with Dr. Rahal with still more months left for new growth/density and I'm guessing you're on propecia as well.

 

The way to boost density for guys with fine hair (myself included) is to place the higher hair count grafts behind the hairline (2s, 3s, 4s), and the larger the hair grafts naturally the larger the recipient sites required. Transplanting a large number of singles will not likely give you the density boost you are looking for if you have fine hair. That's what I was trying get across.

Also some clinics/patient advisors might reject you if you appear to already have a full growing HT result.

 

When I went to Dr. Konior for a touchup in 2014 he had a hard time finding room for these larger graft sites, as my hair was relatively thick from past procedures and being on propecia.

Another approach is to be creative with the hair angles to give a "mesh type" of coverage.

The Konior/Hasson/Rahal level of doctors have the experience and artistry to do this.

 

I know most guys are looking for a once-and-done HT approach, but I'm a believer in smaller touchup procedures over longer time periods, because smaller procedures mean less trauma to the scalp and the grafts are out of the body for less amount of time.

 

Good luck if you decide to have the second procedure.

go dense or go home

 

Unbiased advice and opinions based on 25 plus years of researching and actual experience with hair loss, hair restoration via both FUT & FUE, SMP, scalp issues including scalp eczema & seborrheic dermatitis and many others

 

HSRP10's favorite FUT surgeons: *Dr. Konior, *Dr Hasson, Dr. Rahal

HSRP10's favorite FUE surgeons: *Dr. Konior, *Dr. Bisanga, Dr. Erdogan, Dr. Couto

(*indicates actual experience with doctor)

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Beware beware of hair greed Ernie. Can you not rather play around with Toppik as a filer for now, and see what happens in a couple of years.

 

Certainly noted. I was wondering myself if I'm being "hair greedy". that's why I asked if I was being retarded in my OP.

 

Definitely going to give it plenty of time... No rush of course, as my hairline looks damn good.

3185 FUT with Dr. Rahal on 2/17/16

http://www.hairrestorationnetwork.com/eve/182611-fut-3185-dr-rahal-day-after-pics.html

 

1204 FUT with Dr. Rahal on 3/27/17

http://www.hairrestorationnetwork.com/eve/186586-round-2-rahal-1204-fut-frontal-third-same-area.html

 

---> total of 4389 grafts to my frontal third via FUT

---> 1mg finasteride daily since 1999:)

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  • Senior Member

What was you thinking of doing ernie another FUT or go with the FUE & maybe graft your scar same time.

 

Now if I was you then I would definitely wait not the 12 mth mark but more of the 18 mths that way you know where you definitely stand with if any maturing going on also I'm not so sure if just a 1000 grafts would make a huge difference maybe I could be wrong but that's what I feel.

Also as you well know that grafting in between graftee hairs runs the bigger risk even if most are transplanted folicals.

 

Its a lot to weigh up the pros & cons ernie, but where your at right now I would wait it out a little longer & see what becomes in 12 mths at least.

 

I guess you have definitely got this hair greed syndrome going on ernie :)

Its all good bud:)

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I think that if you have a 2nd HT into the same area as HT #1 you can pretty much count on shock loss that may well be significant cosmetically. The good news is, from everything I have read, the hairs from HT #1 will come back, but you may have to deal with a big setback for a few months after HT#2.

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Speaking from experience I would say its worth getting a small top-up if you feel the area could do with some beefing up! I've had 3 transplants. The first was 3.5 yrs ago and was to the hairline (c. 2,000 grafts). I then went for 2nd op a year later to address a small area behind the transplanted area that was missed the first time around (c. 500 grafts). I didn't suffer any shock loss on the 2nd HT and it definitely made a cosmetic difference!

 

I had a 3rd HT (c. 850 grafts) 4 months ago to address some weakness in the mid-scalp (not on propecia and fully expect to have another HT in a few years). Like a previous poster said, I like the idea of smaller top-up ops to reduce overall trauma. Plus with small top-ups I don't have to shave my head, which helps a lot!! So far so good the 3rd time around. As i said above, I'm only 4 months post HT and the new grafts are definitely making a difference and adding weight to my frontal 3rd. Regarding shock loss, I think I had a small amount in the hairline but it wasn't in any way obvious and all seems to be fine now so that wasn't a problem.

 

All HTs have been performed by Dr. Bisanga so having a highly recommended doc has been invaluable. So all in all, as long as you have a great doc who knows what he is doing, I'm a big fan of small follow-up procedures! Less traumatic, undetectable (if unshaved) and easier recovery!!

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Speaking from experience I would say its worth getting a small top-up if you feel the area could do with some beefing up! I've had 3 transplants. The first was 3.5 yrs ago and was to the hairline (c. 2,000 grafts). I then went for 2nd op a year later to address a small area behind the transplanted area that was missed the first time around (c. 500 grafts). I didn't suffer any shock loss on the 2nd HT and it definitely made a cosmetic difference!

 

I had a 3rd HT (c. 850 grafts) 4 months ago to address some weakness in the mid-scalp (not on propecia and fully expect to have another HT in a few years). Like a previous poster said, I like the idea of smaller top-up ops to reduce overall trauma. Plus with small top-ups I don't have to shave my head, which helps a lot!! So far so good the 3rd time around. As i said above, I'm only 4 months post HT and the new grafts are definitely making a difference and adding weight to my frontal 3rd. Regarding shock loss, I think I had a small amount in the hairline but it wasn't in any way obvious and all seems to be fine now so that wasn't a problem.

 

All HTs have been performed by Dr. Bisanga so having a highly recommended doc has been invaluable. So all in all, as long as you have a great doc who knows what he is doing, I'm a big fan of small follow-up procedures! Less traumatic, undetectable (if unshaved) and easier recovery!!

 

Thanks Stublue, I am in a very similar situation, same great doc too. So he did the top up at exactly 1 yr? I was wondering if he would want me to wait the 18 months or if he would give it another go at the 1 yr mark. November(which is when I had my op) is the only month that will work, so it's either at 1 yr or at 2 yrs for me.

Thanks for the input.

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