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Dr Nader, May 2017


wilkinte

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I talked this through with Dr. Nader and he was OK dropping it but he told to keep an eye out for extreme shedding, then to crank it back up if I noticed any.

 

 

 

I would encourage you to have a look/do research on PRP.

 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4134641/

 

Hang in there amigo. Thanks for the updates.

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  • 1 month later...
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Hey wilkinte,

 

Just curious how your hairs coming along.

 

Hope all is well take care

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Thanks for the ping. All is progressing. I did start Rogaine about 6 weeks ago and am experiencing some shedding from that. Also went back on fin about the same time. While I was starting to think the fin had lost effectiveness for me, and I wanted to be able to donate blood, the risk to my hair was too serious.

 

I have structure for sure, but not as much density as I want. I'm at 8 months now, so maybe it will be 4-6 months more.

 

I'll put some pics up at some point before the year mark.

 

Best wishes for your hair too!

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  • 6 months later...
On 2/22/2017 at 8:27 PM, wilkinte said:

I just used info@nadermedical.com ( on website).

 

Key thing is in the subject line I communicated I was ready to go, and included pictures for the Dr's assessment.

 

I was then successful getting through on the phone to make sure the receptionist knew I was ready to go. I used Skype, and didn't ask a bunch of questions, etc.

 

I might have gotten lucky, but I think my attitude of "I did my research, picked you guys, now get me on the schedule" worked. And keep in mind earliest available was 3 months out.

 

The next day after the call I received a document with pricing, appointment confirmation and what the Dr recommended. Easy Peasy.

 

I will not post prices on the forum but as everyone else has noted he is quite reasonable.

Hi Wilkinte, may I know the price for HT? please reply to my email, rodhethan.ligoyligoy@gmail.com  Thank you.

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  • 8 months later...
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Heading back for round 2 in May.  That will be 2 years after the HT.

These pics are from January and what I sent to Dr Nader in preparation for going back.  These are 20 months after the first HT.

A total of 3300 grafts were done then, 1/2 in crown and 1/2 in front.  While it gave me structure and coverage I (like everyone else) want more density.   Also I'm sure I've lost native hair over the last 2 years, even with my rogaine, finesteride, and biotin regimen.  Genes are a bitch!

I've kept my hair short, I found when it grows out the light density is accentuated.  

While we haven't dialed it in yet, I'm thinking HT2 will be similar, with maybe more grafts in the front.  (so it will be another 2 day thing) I want to ensure a natural look even as I'm sure I'll lose more hair as time goes on.  So definitely the crown needs beefing up since I'm guessing any native hairs in there will fall out.

My hair is generally thin, so I'll never end up with John Stamos looking hair.  But hopefully I will be able to grow it out more than now and do some different kind of styling.

I'm happy to be going back to Luis, and I'll update the thread as we go.

 

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  • 2 weeks later...
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based off the first 2 pics you just posted, it doesnt look that great. but the third picture looks pretty good. is the third picture a more accurate representation of your hair on a day to day basis?

If Nader is going to do another 3000 grafts, I would suggest he really focus those on the frontal third of your head, rather than scattering them all over like he did in the first procedure. Has he quoted you the graft # and the strategy yet?

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His thought is to spend more of the grafts on the front than the crown. But I still want some crown added.  It will be a two day session with front one day and crown the next. 

Like the first time, we'll come up with the plan when I get there next month.  

I'm 52 1/2, so I want to ensure that as I age and lose more hair, I have coverage that looks somewhat natural.  Thus if we do 3500 grafts again, I'm leery of putting them all in front, only for me to have a puff in front and a big bald spot when I'm 60.  I'm sure I lost native hair from the HT two years ago, so I'm sure I'll lose more as time goes by.  (and yes I'm on rogaine, fin, and biotin).

With respect to the pics, I wanted to show honesty.  I'm not here to pump my doctor or pump my ego.  I'm 75% happy with the results of HT1, and I think my biology is a big reason why I'm not 100%.  (Maybe 85% happy when I look at 5 years ago pictures and think about what I would look like without the HT).  The third pic is what I look like to the world, but under light and looking top down shows the truth.

Thanks for commenting, and I'll be sure to snap some pics as we go forward (as long as they don't close the McAllen TX border!).

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On 7/7/2018 at 6:58 PM, Legend007 said:

What’s your current status ? I don’t think u have enough grafts 3300 to cover that large a space .. more than likely u have to do another round.. please keep us updated .. thanks 

I just noticed this post from last year - you were correct !  

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  • 1 month later...
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The journey continues.  I arrived Sunday May 5th, and just walked over to the Wyndham Garden.  This is the same place he put me up last time, although it was an Istay 2 years ago.  One difference this year is getting back into Texas from Mexico.  It was about 30 minutes or so to get back.  If you go, definitely take your passport, but I learned if you have the passport card OR a global entry card you can use an express lane.  That definitely helps.  Same driver too, Mr Santos, and he knows what bridge to take etc.

After talking it through, and considering my goal of having a reasonable loss pattern over the next 10 years or so ( I'm on rogaine, fin, biotin - but I'm planning on my genes just overwhelming all that), we decided to hit both the crown and front, with more of a concentrated approach in the crown.  Got 1400ish in the crown and 1700ish in front.

This time I was more focused on aftercare than last time.  For the last week I've sprayed the grafts almost compulsively every day, washed twice a day with johnsons.  And after day 4 or so gently worked the grafts with the shampoo.  He encouraged me to rinse for up to 5 minutes (using a bowl of course).  I also have slept at a 45 deg angle on my couch with the neck pillow.  Of course ran through the meds he provided (anti inflam, antibiotic, and a mexican pain reliever).

Results on day 7, shown.  Almost zero scabs left, I've had ZERO swelling (I think the sleep regimen is the biggest factor there), and almost no pain in donor area.  While I look a little red, that is in direct sun in my house.  In the mirror under lights I really don't see much if any redness.  Last time I was quite red for a while, and my donor area felt kind of tender for a while too.

I don't know if he's just gotten better over the last 2 years, if he's using better instruments, or if something's different with my biology (I will tell you I started taking Turmeric with my supplements about 6 months ago - that's a natural anti inflammation agent supposedly).

Will I get lucky and have minimal shed?  I doubt it!  But knowing that the hair from HT 1 should be coming in strong will hopefully make the shed psychologically easier.  

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Oh, and anyone who is going there, the girls offer Ceasar Salad or the tacos for lunch.  And yes, if you've been on the forums the tacos are legendary.

But I had the fish both days based on last time.  I'm not kidding when I say this is the best fish dish I've ever had.  It's stuffed with shrimp and some other stuff and breaded.  I should have asked for one to go instead of doing grub hub at the hotel!  Also Bar B Cutie via Grubhub was fantastic.

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  • 3 weeks later...
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Hey guys, haven't logged in for a long time!  My progress has been fine.  I actually texted Nader about a month or so ago.  He is hanging in there and his staff is still together.  Knowing him I'm guessing he's bankrolling his staff to get through the pandemic.

My density is better after number 2, but not really in a linear way.  I think whats going on is my native hair is still thinning, dropping out, and whats left are the grafts. Of course I'm on fin and minox, but shitty genes are just that.    Another thing that effects me is my gray hair - my scalp is more visible 

These shots are from just now and my heads a little wet from the shower but you'll get an idea. 

I've experimented with growing it longer, but outside that accentuates my low density.  So generally I keep it tight.  Like all of us I want thick dense hair, but it's not happening.  I look at pics from 2014 or so and know I'd be pretty much bald by now.  

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@wilkinte glad your doing good my friend and the hair looks good 2! 

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  • 3 weeks later...
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This guy would basically be slick bald, and now he has a nice hairline and no significant bald spot.

For someone in his 50s, with his stage of baldness, this is a very solid result.  I’m guessing by your comment you are much younger...

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1 hour ago, asterix0 said:

Don't mean to ruffle any feathers, but I would have expected a better result. Thank you for sharing your experience though, but why not go to a different doctor after your first pass? 

No feathers ruffled!! I appreciate your comment.  I wish I had more density, as does Dr. Nader.   As far as another doctor, if I had spend 15-20K instead of 4-5K on HT 2 would I feel better?  Is a little more hairs worth a trip to Europe?  That's a question that everyone needs to answer for themselves.  Would I have more density?  Who knows?

My confidence in him was based on the standard of care.  He takes every hair out and places every graft himself.  You're the only patient his entire team is focused on for the day or two you're there.  Is that common with other doctors?

Everyone's biology is different, my T runs about 1000 due to TRT.  (I'm on fin of course).  We know that high T indicates high DHT, thus more balding.  Should I drop my T down so my hair grows better?  For me the answer is no, with low T I was miserable.

So did I consider another doc for HT2, no.  If I get HT3 will I consider another doc?  No.  But at this stage of my mid 50s, doing another 3K grafts isn't likely.  If I just brush some topix in, or dye my hair (the light grey color definitely "highlights" my scalp) I'll have a more dense appearance.  Is that important to me?  It's not right now but who knows tomorrow.

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38 minutes ago, giegnosiganoe said:

Interesting that you were on finasteride for 20 years. What did your hair look like before getting on it? How much did you lose over those 20 years?

I started losing my hair in my late 20s.  By 30 you could see my crown was getting very thin. You can see what I looked like pre HT in the 2013 pic above.

Fin/Rogaine/etc battles your genes, but for me it was a losing battle.  Thus 2 HTs.  Now I still do fin/rogaine/biotin/ketaconazole shampoo to give my body it's best shot to keep what I can.  

 

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On 8/9/2020 at 12:54 PM, wilkinte said:

No feathers ruffled!! I appreciate your comment.  I wish I had more density, as does Dr. Nader.   As far as another doctor, if I had spend 15-20K instead of 4-5K on HT 2 would I feel better?  Is a little more hairs worth a trip to Europe?  That's a question that everyone needs to answer for themselves.  Would I have more density?  Who knows?

My confidence in him was based on the standard of care.  He takes every hair out and places every graft himself.  You're the only patient his entire team is focused on for the day or two you're there.  Is that common with other doctors?

Everyone's biology is different, my T runs about 1000 due to TRT.  (I'm on fin of course).  We know that high T indicates high DHT, thus more balding.  Should I drop my T down so my hair grows better?  For me the answer is no, with low T I was miserable.

So did I consider another doc for HT2, no.  If I get HT3 will I consider another doc?  No.  But at this stage of my mid 50s, doing another 3K grafts isn't likely.  If I just brush some topix in, or dye my hair (the light grey color definitely "highlights" my scalp) I'll have a more dense appearance.  Is that important to me?  It's not right now but who knows tomorrow.

I understand, I think that your hair is certainly passable particularly for your age, and you should overall be happy with your result. Could it be a little bit better in terms of yield and graft placement? In my humble opinion yes, but hindset is 20/20 and I think just as every situation in life, one should be an optimist when possible.

So certainly enjoy your hair and I didn't mean to criticize the result. I am in a high Norwood situation myself and thus am concerned about yield and maximizing results, and would maybe pay a premium like with dr.wong or dr.konior to do so. But of course, is 20k usd more actually worth it for just "slightly" better results? No one really knows in this business, results are never guaranteed, even when paying the highest prices.

 

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  • 2 weeks later...
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On 8/10/2020 at 4:07 PM, wilkinte said:

I started losing my hair in my late 20s.  By 30 you could see my crown was getting very thin. You can see what I looked like pre HT in the 2013 pic above.

Fin/Rogaine/etc battles your genes, but for me it was a losing battle.  Thus 2 HTs.  Now I still do fin/rogaine/biotin/ketaconazole shampoo to give my body it's best shot to keep what I can.  

 

Have you thought about Duastertide? It may be more effective for you than Fin.

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