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Going for FUE procedure with Dr. Reddy, Private Clinic London - 1000 grafts, NW3

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Hello,

 

After a few years pondering the advantages vs. risks of FUE, looking at patients' results and having had to sell some possessions of mine, I finally decided to go for a treatment with Dr. Reddy in London. The procedure will take place in 1 month.

 

Some background: I am now 40 and have slowly been losing my hair since 1998, and still am at a Norwood 3 after 19 years, but I'm also thinning at the top now. I am looking to mainly improve my hairline, but in a discrete manner. So with Dr. Reddy we agreed on 1000 grafts (3000 hairs in my case). My donor area is good as you can see.

 

I'm just a bit worried that folliculitis/scalp acne I am prone to may cause infection on op day. I will try to get an antibiotic treatment beforehand. I also use tea tree shampoo and oil, which are said to have antibacterial properties. There are phases of improvement and outbreak though.

 

The other thing: although it is recommended to take it, I'm not really reassured about the side effects of Propecia. The consequence of not taking it is possible shock loss. But I read on a general medical information site, from doctors themselves, that shock loss happens in 5% of cases and it is just the hair without the follicle. So I take it I shouldn't be too worried about it?

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Hi mate have you let dr reddy no about your scalp condition? Follicolitus can happen after surgery it’s a known side effect,

 

You are at a good age and have choosen a great surgeon I feel your have a good result, good luck come back and keep us posted

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Hi I had similar fears as you. I started a course of lymecycline a month or so before surgery and have continued up until now (2 months +) I haven't had any breakouts nor did I experience much redness. On the day of surgery the doc will probably give you IV antibiotics and then a 3 day course of oral antibiotics afterwards. The chance of picking up a scalp infection are very low from what I understand. The wounds are shallow and heal very quickly. Added to that Dr Reddy's clinic is probably very clean. My main concern was folliculitus occurring in the months after surgery which can damage the implanted grafts, so far I have not had any. Save for the odd small spot that clears up in a day or two. I started propecia 8 months before and I've seen great stability from it as well as zero shockloss from the OP. I really think it has made a difference. I haven't experienced any sides at all, if anything I have had less acne breakouts on my arms. Some other people have noticed reduced acne from propecia too. As you're only having 1000 grafts I doubt you have any shockloss to worry about. Good luck with the op!

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If you're having to sell things to pay for 1000 grafts then I hope you're well prepared for the future. It looks like you have some thinning in the NW5 area so you should seriously consider propecia or else you may need future transplants. Nothing looks less natural than losing hair behind a strong hairline.

 

Another thing to consider is that if you are to receive 3000 hairs from 1000 grafts then your surgeon must plan to cherry pick the triple hairs. Whilst multiple hairs are great for coverage in the mid-scalp and vertex, they look un-natural in the hairline where singles should be used. 1000 grafts is also not a lot of grafts for the area needed so I hope you plan on a conservative hairline.

 

"My donor area is good as you can see." - you did not provide photos of your donor area.

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I wanted to echo that 1,000 grafts sounds very insufficient even for just front zone/hairline restoration based on the level of recession indicated in your pictures ... maybe get a second or even third opinion??

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If you're having to sell things to pay for 1000 grafts then I hope you're well prepared for the future. It looks like you have some thinning in the NW5 area so you should seriously consider propecia or else you may need future transplants. Nothing looks less natural than losing hair behind a strong hairline.

 

Another thing to consider is that if you are to receive 3000 hairs from 1000 grafts then your surgeon must plan to cherry pick the triple hairs. Whilst multiple hairs are great for coverage in the mid-scalp and vertex, they look un-natural in the hairline where singles should be used. 1000 grafts is also not a lot of grafts for the area needed so I hope you plan on a conservative hairline.

 

"My donor area is good as you can see." - you did not provide photos of your donor area.

 

Not a valid point 1000 grafts can be a mixture of 1,2,3 hair grafts dosnt mean the Dr is going to use 1000 3 hair grafts Dr Reddy knows he's trade he's no cowboy

 

I wanted to echo that 1,000 grafts sounds very insufficient even for just front zone/hairline restoration based on the level of recession indicated in your pictures ... maybe get a second or even third opinion??

 

Not really if he wants a slight change and is keeping hairline high a good result can be achieved with 1000

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Not a valid point 1000 grafts can be a mixture of 1,2,3 hair grafts dosnt mean the Dr is going to use 1000 3 hair grafts Dr Reddy knows he's trade he's no cowboy

 

It's a totally valid point. For every single hair harvested then a five will then be needed to mainatain the promised average of 3 hairs per graft. How many procedures have you ever seen with an average of 3 hairs per graft anyway? A doctor who plans for the future should save as many multiples as possible for mid-scalp and vertex work and use singles for the hairline.

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It's a totally valid point. For every single hair harvested then a five will then be needed to mainatain the promised average of 3 hairs per graft. How many procedures have you ever seen with an average of 3 hairs per graft anyway? A doctor who plans for the future should save as many multiples as possible for mid-scalp and vertex work and use singles for the hairline.

 

I know what your saying but you can still get 3000 hairs from 1000 grafts without taking all trebles

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Hi All,

 

Thanks for your replies, and sharing your experience and advice. Yes indeed I'm planning on a conservative hairline, all the more now as my pictures show more thinning than I thought. The back of the head is fine though (sorry I thought it showed in the second picture).

 

3000 hairs is the plan, so I expect if a number of single hairs are used at the front, the rest will add up!

 

ThickGreenLawn: do you think I can obtain a prescription for a months-long course of antibiotics from my GP? And no worries I didn't sell stuff in order to get surgery, I just wasn't really serious about getting it first, but it just happened that I had to vacate a place and, when life gives you lemons... ;)

 

As for Propecia, the side effect I'm worried about is the risk of a serious one, that might happen in the long run... I'm all for enjoying my youth, but I'd like to live old too!

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1000 grafts will achieve almost nothing for your case. Reddy is a highly competent doctor, but you're wasting your time. You're a norwood 3.5 with a severely weak forelock and thinning in the NW5 area who isn't on propecia. This is a TERRIBLE idea.

 

I would genuinely recommend you cancel or postpone and contact a number of other global doctors, Erdogan, Feriduni, Lupanzula, Konior, Hasson+Wong, Bisanga, Freitas, Feller are some strong options. I list so many because I don't want to seem like I am being biased, but Reddy has high prices and you're genuinely wasting your time with 1000 grafts.

 

Particularly if you're not on propecia, you will LOSE more than 3000 hairs in the time it takes for those 3000 hairs implanted to grow.

 

STRONGLY recommend you postpone and contact some other doctors outside of the UK, particularly Belgium like Ferdiduni, Lupanzula and Bisanga for their opinion, because I promise you it will be very, very different to 1000 grafts.

 

Again I don't want to sound like I'm attacking Reddy, but a doctor prepared to do a tiny frontal hairline surgery when you're thinning in the NW5 area severely and not on propecia is just plain wrong. He's going to have you locked in for future surgery because that tiny thick band of transplants with the hair behind it disappearing is going to look ridiculous and you'll need another transplant in 12 months. Don't go through with it until you get some second opinions from the non-UK surgeons I mentioned or other Hairrestorationetwork recommended surgeons and consider their advice.

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1000 grafts will achieve almost nothing for your case. Reddy is a highly competent doctor, but you're wasting your time. You're a norwood 3.5 with a severely weak forelock and thinning in the NW5 area who isn't on propecia. This is a TERRIBLE idea.

 

I would genuinely recommend you cancel or postpone and contact a number of other global doctors, Erdogan, Feriduni, Lupanzula, Konior, Hasson+Wong, Bisanga, Freitas, Feller are some strong options. I list so many because I don't want to seem like I am being biased, but Reddy has high prices and you're genuinely wasting your time with 1000 grafts.

 

Particularly if you're not on propecia, you will LOSE more than 3000 hairs in the time it takes for those 3000 hairs implanted to grow.

 

STRONGLY recommend you postpone and contact some other doctors outside of the UK, particularly Belgium like Ferdiduni, Lupanzula and Bisanga for their opinion, because I promise you it will be very, very different to 1000 grafts.

 

Again I don't want to sound like I'm attacking Reddy, but a doctor prepared to do a tiny frontal hairline surgery when you're thinning in the NW5 area severely and not on propecia is just plain wrong. He's going to have you locked in for future surgery because that tiny thick band of transplants with the hair behind it disappearing is going to look ridiculous and you'll need another transplant in 12 months. Don't go through with it until you get some second opinions from the non-UK surgeons I mentioned or other Hairrestorationetwork recommended surgeons and consider their advice.

 

He states he wants to have surgery done discreetly and hes main concern is the front, he knows hes thinning and probably accepts the fact he will need more surgery to address that later down the line, starting with a 1000 grafts to the hairline is not a bad idea if thats they way he wishes to pursue.

 

I cant see hes facial frame but aslong as he keeps the hairline high and tight 1000 is enough to make a good difference and a subtle change without anybody recognising

 

I do agree with you on the fact Dr Reddy is ridiculously pricey , he also uses the Choi Implanter which im not a fan of, but he is a great DR and I've seen excellent results from him.

 

He would not be on my List as i know thier are equally good surgeons out there at a lower price, I think reddy caters alot for Celebrity's in the UK hense hes prices

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Erdogan, Feriduni, Lupanzula, Konior, Hasson+Wong, Bisanga, Freitas, Feller are some strong options. I list so many because I don't want to seem like I am being biased

 

Jean thank you for posting the above list of doctors after my research, Dr Feriduni, Dr Konior and Dr Lorenzo were on my list of Doctors.

 

Dr Lorenzo for high norwood case seems to be a good opinion is there any reason he was not on your list? (Asking as he seems to do incredible work? But is not recommended on ishrs website or on this forum).

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Jean thank you for posting the above list of doctors after my research, Dr Feriduni, Dr Konior and Dr Lorenzo were on my list of Doctors.

 

Dr Lorenzo for high norwood case seems to be a good opinion is there any reason he was not on your list? (Asking as he seems to do incredible work? But is not recommended on ishrs website or on this forum).

 

I forgot to list him, for your case because you're leaning towards high norwood and his exceptional donor management and coverage skills I would definitely consider him strongly too. I don't like his hairline work quite as much but because you're probably not looking at anything super youthful or aggressive I think his style would suit very well.

 

Feriduni and Konior have year long waiting lists almost (from what I've read lately) so if you're wanting the procedure soon I think Lorenzo is around 4 months at the moment, but again not 100% sure. Erdogan who I went to is also top notch for high norwood work and uses the same coverage value system as Lorenzo.

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Originally Posted by JeanLDD

1000 grafts will achieve almost nothing for your case. Reddy is a highly competent doctor, but you're wasting your time. You're a norwood 3.5 with a severely weak forelock and thinning in the NW5 area who isn't on propecia. This is a TERRIBLE idea.

 

I would genuinely recommend you cancel or postpone and contact a number of other global doctors, Erdogan, Feriduni, Lupanzula, Konior, Hasson+Wong, Bisanga, Freitas, Feller are some strong options. I list so many because I don't want to seem like I am being biased, but Reddy has high prices and you're genuinely wasting your time with 1000 grafts.

 

Particularly if you're not on propecia, you will LOSE more than 3000 hairs in the time it takes for those 3000 hairs implanted to grow.

 

STRONGLY recommend you postpone and contact some other doctors outside of the UK, particularly Belgium like Ferdiduni, Lupanzula and Bisanga for their opinion, because I promise you it will be very, very different to 1000 grafts.

 

Again I don't want to sound like I'm attacking Reddy, but a doctor prepared to do a tiny frontal hairline surgery when you're thinning in the NW5 area severely and not on propecia is just plain wrong. He's going to have you locked in for future surgery because that tiny thick band of transplants with the hair behind it disappearing is going to look ridiculous and you'll need another transplant in 12 months. Don't go through with it until you get some second opinions from the non-UK surgeons I mentioned or other Hairrestorationetwork recommended surgeons and consider their advice.

Hi Jean,

 

Thank you for your concern and advice. When I said I was mainly looking to improve on the hairline but in a discrete manner, I did not mean to get a thick band of transplants, but focusing on thickening the top while subtly enhancing it, because without a good forelock, as you noted, that hairline will not be durable. I have realistic expectations regarding what I can achieve. If the crown needs a transplant a few years down the line, then so be it.

 

I am prepared to see some shock loss in the following weeks, and possibly keep my hair trimmed for a whole year until both grafts and natural hair regrow; doing that would even help the transplant progressively blend in visually. Shock loss can vary from one person to another, but apart from not using Propecia (I will use Minoxidil though), other factors may act in my favour: the moderate size of the transplant, and using a skilled surgeon, who also uses magnification to implant the grafts without harming the existing hair.

 

He states he wants to have surgery done discreetly and hes main concern is the front, he knows hes thinning and probably accepts the fact he will need more surgery to address that later down the line, starting with a 1000 grafts to the hairline is not a bad idea if thats they way he wishes to pursue.

 

I cant see hes facial frame but aslong as he keeps the hairline high and tight 1000 is enough to make a good difference and a subtle change without anybody recognising

 

I do agree with you on the fact Dr Reddy is ridiculously pricey , he also uses the Choi Implanter which im not a fan of, but he is a great DR and I've seen excellent results from him.

 

He would not be on my List as i know thier are equally good surgeons out there at a lower price, I think reddy caters alot for Celebrity's in the UK hense hes prices

Hi Djlazerblue,

 

I Have looked up the Choi implanter, which is the one I saw Dr. Reddy use in the videos indeed, and read a list of advantages and inconvenients. I expect that he is aware of those as well and has learnt to work around them (e.g. differences of Caucasian hair types). As my FUE will be shaved, one of the risks should be minimised, and due to the size of 3-hair graft tools, I will see whether we can use more 2-hair or single hair grafts to achieve the 3000-hair total.

 

The tariff is that of the Private Clinic: 2.5 pounds per hair for shaved FUE. I agree this is high compared to charging per graft, but I wanted to have this done by a reliable surgeon in the UK.

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The tariff is that of the Private Clinic: 2.5 pounds per hair for shaved FUE. I agree this is high compared to charging per graft, but I wanted to have this done by a reliable surgeon in the UK.

 

So your surgeon charges by the hair and not by the graft? Now I can see why he is aiming for 3000 hairs for your 1000 grafts. Did you discuss with him the need for single hairs in the hairline to produce a natural result? I said before that he would have to cherry pick the multiple grafts of 3's or more to get 3000 hairs but this should be to benefit your result not the pocket of the surgeon. Multiple hairs should be saved for the midscalp and crown, especially if further loss is likely. I really question the ethics of your surgeon in your case, particularly considering his price structure. Similar to what others in this thread have said I see several problems with this approach and in your best interests I would advise you to reconsider going ahead with this as there are way better options available to you.

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Consider that he charges by the hair, not graft.

 

1000 will make no difference imo, given your degree of loss evident in the pictures.

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Hi Guys,

 

Of course the 1000 grafts are an approximation Dr. Reddy gave me, as what was paid for is 3000 hairs; and he knows he has to use single hairs for the hairline, as per previously posted on the forum (e.g. here). And as he can do up to twice as many grafts in one day, there is no reason why he wouldn't have the time to carefully select grafts of 1, 3 or more hairs.

 

Again, the hairline enhancement has to be only subtle, much more so than in the examples shown around here, so the majority of the grafts will be used for thickening the existing forelock/midscalp. Check out on this forum a few more cases done by him, procedures he performed over 5 years ago with similar hairlines or thinness and number of grafts/hairs but with different goals (more ambitious hairline results), like this one or this one. He can definitely achieve satisfactory results by my standards if the focus is on thickening, then adding just a little around; to make it clear once and for all, that is what I told him I wanted to achieve during my consultation and which has been agreed.

 

Not sure how likely further loss is: as stated in my first post, I'm 40 and my hair loss has been going on for nearly 20 years (I probably got it from my maternal grandfather, but my father still has more hair than I do at twice my age). It was fast during the first 2 years, especially at the hairline, but then very progressive with not much difference from year to year, so I consider it stable. I'm just reaching a point now where I really wish to maintain what I have and possibly enhance it a bit, while remaining discreet about it. And 6000 hairs, besides being twice the price, would be a dead giveaway. So I had rather have that one procedure now, then another one a few years later to address other areas. And I don't mind looking somewhere else if you know better options in the UK, but the Private Clinic seemed like the best place to me.

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Hi Guys,

 

Of course the 1000 grafts are an approximation Dr. Reddy gave me, as what was paid for is 3000 hairs; and he knows he has to use single hairs for the hairline, as per previously posted on the forum (e.g. here). And as he can do up to twice as many grafts in one day, there is no reason why he wouldn't have the time to carefully select grafts of 1, 3 or more hairs.

 

Again, the hairline enhancement has to be only subtle, much more so than in the examples shown around here, so the majority of the grafts will be used for thickening the existing forelock/midscalp. Check out on this forum a few more cases done by him, procedures he performed over 5 years ago with similar hairlines or thinness and number of grafts/hairs but with different goals (more ambitious hairline results), like this one or this one. He can definitely achieve satisfactory results by my standards if the focus is on thickening, then adding just a little around; to make it clear once and for all, that is what I told him I wanted to achieve during my consultation and which has been agreed.

 

Not sure how likely further loss is: as stated in my first post, I'm 40 and my hair loss has been going on for nearly 20 years (I probably got it from my maternal grandfather, but my father still has more hair than I do at twice my age). It was fast during the first 2 years, especially at the hairline, but then very progressive with not much difference from year to year, so I consider it stable. I'm just reaching a point now where I really wish to maintain what I have and possibly enhance it a bit, while remaining discreet about it. And 6000 hairs, besides being twice the price, would be a dead giveaway. So I had rather have that one procedure now, then another one a few years later to address other areas. And I don't mind looking somewhere else if you know better options in the UK, but the Private Clinic seemed like the best place to me.

 

Why are you so focused on being discreet about it? Are you after a cosmetic improvement, or to pay for a surgery where no one can see difference?

 

When you have an entire thread of people telling you you're making a stupid mistake (mostly people who have experience with the procedure) then you should certainly listen. Again for you not to have consultation with other doctors like Feriduni, Konior, Erdogan or Lupanzula for example again is just stupidity. Particularly consult online with some Belgian doctors like Feriduni, Lupanzula and Bisanga who are close.

 

It seems as if you are more interested in coming to this forum to spite and disagree with everyone having already made up your mind than to legitimately enquire about your options.

 

You will not under ANY circumstances get 3000 hairs with a hairline procedure either as at least 200 hairs will likely need to be single hair grafts for good results. Another reason why it is clear Reddy is being disingenuous.

 

You could opt for quite frankly a better surgeon and a more ethical surgeon with fair prices for half what you're paying while getting full coverage.

 

Ridiculous. Wish I had the money to piss dollars down the drain willy nilly like yourself.

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Listen to what people are saying mate - don't be stubborn here! You are making a poor decision I think you need to take more time, do more research and most importantly consult with more doctors. Be willing to travel too, you will be much better off doing so. The cost and quality is not in your favor with your current decision, you could absolutely get better for less.

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Keep doing your homework and you may need to ask your surgeon more questions based on well informed folks on this website. Choosing 1,000 triples is time consuming and the first I’ve heard on this website. Be careful, this is a very important and expensive decision for you.


I am an online representative for Carolina Hair Surgery & Dr. Mike Vories (Recommended on the Hair Transplant Network).

View John's before/after photos and videos:  http://www.MyFUEhairtransplant.com

You can email me at johncasper99@gmail.com

I am not a medical professional and my opinions should not be taken as medical advice.

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Why are you so focused on being discreet about it? Are you after a cosmetic improvement, or to pay for a surgery where no one can see difference?

 

When you have an entire thread of people telling you you're making a stupid mistake (mostly people who have experience with the procedure) then you should certainly listen. Again for you not to have consultation with other doctors like Feriduni, Konior, Erdogan or Lupanzula for example again is just stupidity. Particularly consult online with some Belgian doctors like Feriduni, Lupanzula and Bisanga who are close.

 

It seems as if you are more interested in coming to this forum to spite and disagree with everyone having already made up your mind than to legitimately enquire about your options.

 

You will not under ANY circumstances get 3000 hairs with a hairline procedure either as at least 200 hairs will likely need to be single hair grafts for good results. Another reason why it is clear Reddy is being disingenuous.

 

You could opt for quite frankly a better surgeon and a more ethical surgeon with fair prices for half what you're paying while getting full coverage.

 

Ridiculous. Wish I had the money to piss dollars down the drain willy nilly like yourself.

 

Hi Jean/Dan/John,

 

Sorry if I came across as projecting spite, I didn't mean to disrespect the knowledge of the people on this forum, and I did appreciate the fact you wanted to help me make the best decision. What I wanted to do when I started this thread was simply report on my experience, like others do, and I was also curious about people's possible experiences with folliculitis or shock loss.

 

I'm not really into throwing money out the window either and I had done some research. So far it had seemed I could indeed get a better graft for money ratio in some other countries, but there were too many warnings about the surgeons' authenticity. Maybe I should have started a topic on this forum earlier, and I may have got better bang for my buck. To be fair though, as I Iive in south east England and have been given free accomodation in London for a week, that offset the overall cost a bit. I will also be able to pay follow up evaluation visits at 3, 6 and 9 months with just a train and tube ride.

 

Now, you may hate the next part, or just have a laugh with it, but as you may already have guessed, I'm now post-op. This is day 5, and so far so good.

 

No graft loss, no pain, no swelling. I managed to get on a course of antibiotics before the procedure, and together with those taken from op day, I am folliculitis-free. I still have enough antibiotics to last until day 10, when scabs should all have fallen.

 

Attaching the 2 pictures I took yesterday, the transplanted and donor areas of course (sorry about the second one not being very well framed, SLR selfies from the back!). Nice red triangle at the front, a couple of bigger scabs as there was some scar tissue, which was a bit more painful to implant in.

 

To answer your question Jean, what I was looking for was something subtle that I knew I would notice and simply be more confident about (probably the same kind of motive that makes wealthier people choose unshaven FUE). And you're definitely right about this, between a noticeable improvement and discretion, something's got to give.

After the first session of graft harvesting, we discussed the hairline again and I chose a tighter one than suggested. This may be a Norwood 2, and the middle isn't lower than before. Even so, I love the way my hairline now frames my face, and I think I have a good compromise here. Even the trimmed look with my current coverage is pretty great now, and I feel more comfortable with it than when I was letting the hair grow, trying to cover the forehead.

 

Now looking forward to the next 12 months.

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Hi Jean/Dan/John,

 

Sorry if I came across as projecting spite, I didn't mean to disrespect the knowledge of the people on this forum, and I did appreciate the fact you wanted to help me make the best decision. What I wanted to do when I started this thread was simply report on my experience, like others do, and I was also curious about people's possible experiences with folliculitis or shock loss.

 

I'm not really into throwing money out the window either and I had done some research. So far it had seemed I could indeed get a better graft for money ratio in some other countries, but there were too many warnings about the surgeons' authenticity. Maybe I should have started a topic on this forum earlier, and I may have got better bang for my buck. To be fair though, as I Iive in south east England and have been given free accomodation in London for a week, that offset the overall cost a bit. I will also be able to pay follow up evaluation visits at 3, 6 and 9 months with just a train and tube ride.

 

Now, you may hate the next part, or just have a laugh with it, but as you may already have guessed, I'm now post-op. This is day 5, and so far so good.

 

No graft loss, no pain, no swelling. I managed to get on a course of antibiotics before the procedure, and together with those taken from op day, I am folliculitis-free. I still have enough antibiotics to last until day 10, when scabs should all have fallen.

 

Attaching the 2 pictures I took yesterday, the transplanted and donor areas of course (sorry about the second one not being very well framed, SLR selfies from the back!). Nice red triangle at the front, a couple of bigger scabs as there was some scar tissue, which was a bit more painful to implant in.

 

To answer your question Jean, what I was looking for was something subtle that I knew I would notice and simply be more confident about (probably the same kind of motive that makes wealthier people choose unshaven FUE). And you're definitely right about this, between a noticeable improvement and discretion, something's got to give.

After the first session of graft harvesting, we discussed the hairline again and I chose a tighter one than suggested. This may be a Norwood 2, and the middle isn't lower than before. Even so, I love the way my hairline now frames my face, and I think I have a good compromise here. Even the trimmed look with my current coverage is pretty great now, and I feel more comfortable with it than when I was letting the hair grow, trying to cover the forehead.

 

Now looking forward to the next 12 months.

 

Wish you all the best. Post updates if you can especially around the 3-6 month mark, interested to see how it turns out.

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