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Kaya

Dr. Muttalip KESER | 1330 + 400 Grafts | 12.2016 - 05.2018

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Hi guys,

 

I am 42 years old and I live in LA. Even though I had no issues with the density, my hairline and temples have been receding slowly since early 20s. I was Nw2-2.5 at 40 and never used any kind of treatment/medication.

 

Fast forward, I started researching hair loss and transplantation 3 years ago. After about a year of research (HRN and some European forums) I pulled the trigger and got my first HT with Dr. Keser in December 2016 (1330 grafts). I had a touch-up operation (400 grafts) with him again a month ago to lower my hairline (Gatsu was my inspiration :))

 

Dr. Keser is a great surgeon who takes his time doing the operation diligently. He extracts and implants himself and does 500-600 grafts a day. He uses manual punch for extraction and implants with a needle. Dr Keser and his team took care of me very well. He answered all of my questions before, during and after the operation patiently and followed up personally after each HT.

 

I will share tons of pictures (both Dr. Keser’s and mine) to give a better idea on his work hoping fellow forum members could benefit. I will keep you guys updated next 12 months at the least.

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2nd operation

....

 

 

Holy Cow !! You went from a Round Hairline to a Widow's Peak ! Whoa !! :eek:

 

 

 

That is an immaculate job done, brilliant work, what a work of artistry truly amazing. Looks like you are good on donor hair ? What did Dr.Keser say ? Were you always good on Donor Hair ? How much of Donor hair is left with you further more ?

 

 

What medications where you on ? Post your HT ?

 

 

You must be feeling on top of the world !! isn't it ?? By far the best results I have seen !! Congratulations !! :)

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Great results. Who else were u considering for a procedure? What made u pull the trigger with keser?

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Holy Cow !! You went from a Round Hairline to a Widow's Peak ! Whoa !! :eek:

 

That is an immaculate job done, brilliant work, what a work of artistry truly amazing. Looks like you are good on donor hair ? What did Dr.Keser say ? Were you always good on Donor Hair ? How much of Donor hair is left with you further more ?

 

What medications where you on ? Post your HT ?

 

You must be feeling on top of the world !! isn't it ?? By far the best results I have seen !! Congratulations !! :)

I am humbled by your kind words. Thanks a lot, appreciated!

 

Dr Keser told me I have strong donor (especially at my age). I was always good on donor; did not have a count but if I have to guess, I probably have 5-6K left.

 

I am not on any medication at all. Post HT, I used and am using 5mg Biotin only (120 pills)

 

I am very happy with my 1st HT results and hoping the same outcome for the second HT.

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Great results. Who else were u considering for a procedure? What made u pull the trigger with keser?

Thank you!

 

I had some requirements in my mind:

 

- FUE

- Dense packing

- Manual extraction

- Stick and place

- Operation to be performed on multiple days

- Both extraction and placement to be performed by the doctor

 

All these led me to Dr. Keser.

 

I also had Dr. Konior and Dr. Couto in my mind but eliminated both due to long wait times and high price.

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Your 35 day pictures look dame good Keser looks interesting

I just emailed him my consult pictures

Looking for an alternatives since Erdogan shot me down

I'm I bit lost with some many doctors to choice from

 

 

 

Thank you!

 

I had some requirements in my mind:

 

- FUE

- Dense packing

- Manual extraction

- Stick and place

- Operation to be performed on multiple days

- Both extraction and placement to be performed by the doctor

 

All these led me to Dr. Keser.

 

I also had Dr. Konior and Dr. Couto in my mind but eliminated both due to long wait times and high price.

Edited by Markee

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Your 35 day pictures look dame good Keser looks interesting

I just emailed him my consult pictures

Looking for an alternatives since Erdogan shot me down

I'm I bit lost with some many doctors to choice from

 

 

Wouldn't expect a positive response - Keser tends to heavily favour smaller cases (especially as he does all the work himself).

 

 

Great to see a case of his on here, excellent results so far!

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Wouldn't expect a positive response - Keser tends to heavily favour smaller cases (especially as he does all the work himself).

 

Great to see a case of his on here, excellent results so far!

 

That is absolutely right.

He will not take any patient who needs more than 2500 grafts.

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Phenomenal yield and based on size of sessions and his surgical protocol, you seemed to have got your money’s worth.  

Sucks he does not take higher end cases like Lorenzo and others, but I guess that’s what he wants his market to be.  

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Great clinic for such a type for hair loss and hair characteristics. Like I said: There is not the (!) best clinic. Only the best clinic for your personal case.

The second surgery is not nessessary at all. It is pure hair greed. But I am sure it will look great and if you have the follicles, why not do it? Great decision.

Let us know the outcome.

@Markee, Keser is not close to be a good choice for your case. And this is valid for both sides.

Edited by Gasthoerer

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    • When I first did this, more than 10 years ago, my head was bandaged immediately after the procedure.  The next day the gauze was removed. 2nd procedure, the wrap was no longer used.  I guess they figured out that it was not needed after all.  3-4-5-6-7 procedure - no wrap.  You can now wear a cap, leaving a space between the head and the inside-top of the cap, (nothing touching the grafted area to avoid dislodging a graft).   The way to avoid embarrassment is just tell them you had it done!
    • 0,9 mm 3 days no wash, just spray saline on the recipient area After 3 days, start washing only with water not directly poured on recipient. From day 7 gently wash with ph 5.5 delicate shampoo    
    • Whether the extraction tool is motorized or not isn't really the question. What determines the nature and extent of FUE scarring and donor damage are the punch sizes used, the extraction pattern and spacing within the donor, and the extractor's skill. 
    • Which method do you guys think results in less damage to the donor area like less scaring and lower transection rates? I think this is the most import aspect of this for me and remember someone saying manual fue was better in this regard. What's the consensus on this? 
    • Future patients of our clinic know that in case something goes wrong about the regrowth, we offer a free touch up as it was offered to you. You showed concern in all the potential side effects of the medicines you were prescribed. Finasteride (depression after only 2 weeks of usage is inconsistent with the drug mechanism of action). In addition not only you just lasted 2 weeks taking Finasteride, you also stopped Minoxidil once and for good after you had been taking it for 6 months before surgery, losing all benefits you gained thanks to the medicine. You lamented side effects even from a mild saw palmetto supplement. You behaved so bizarrely that dr. Pekiner started to have strong doubts about you following the other post operative instructions. While we are sure you did not take the prescribed drugs. Long message of his team only started to appear after you began to shoot bad words at the clinic in public forums trying to blacken dr. Pekiner's reputation and frighten potential patients. The facts are that the patients treated just before and just after your first and second surgery are all doing or have done perfectly fine. I just published two of them: Something went wrong only in your surgeries and we don't know exactly what happened. We are sure you did not take the prescribed drugs to fight androgenetic alopecia (Finasteride and Minoxidil) and dr. Pekiner has heavy suspects you did not follow the post operative instructions either.  You are sure instead it was all dr. Pekiner's fault, but the 4 patients treated just before and after you, show that the problem is in your case only. Do you have proofs dr. Pekiner performed something wrong? You don't have still you keep on shooting at him. I am repeating myself, a successful surgery requires collaboration and trust between the patient and the doctor, following the post operative instructions is fundamental. It is also possible there is something wrong in your physiology but it is impossible to determine exactly.   There is not an official guidance but it is commonly accepted in the hair restoration world that around 50 grafts per cm2 is the threshold between medium/high density and dense packing, even if that is just a conventional term, because it also depends on graft size. Mostly about taking care of the recipient area, taking the prescribed medicines, not doing heavy activities and not wearing a helmet for 1 month etc. Every clinic provides a list of how to behave after surgery, more or less things are the same for all. I cannot list them all and explain why every point is important here it would take hours. Grafts are anchored way before 7 days post op, but this doesn't mean you can treat them like normal hairs, not at all. Well then you have been badly informed, nowdays most of the top notch clinics implant at 50 grafts per cm2 and more in every case in which a norwood 1 to 4 must rebuild the frontal part and the existing hair behind is at native density. Same story for crown reconstructions. I have never seen a clinic asking a patient to come twice to implant 30 grafts per cm2 square in the first surgery and then 20 grafts in the second one on the same area. Following this principle, clinics who perform mainly frontal reconstructions at high density (lets say Keser's DermaPlast since we spoke about him before) should simply not exist, since they perform only dense packing (50 to 65 grafts per cm2) on daily bases. We perform dense packing in around 50% of our cases. What you say is logical in special cases like transplanting hair on burn scar or damaged tissue, where you have to re-vascularize the area and try to soften the tissue. There is no clinical reason to limit implantations at 35 grafts per cm2 on healthy skin. ...how come, because this is basically a vindictive topic even if it is disguised as an informative one.     Yes, finasteride would help. Dupa and retrograde alopecia are nothing but just having DHT sensitive hair follicles inside the donor area and sparse around the occipital sides (that is why it is called DUPA) and/or above and beneath the donor area and on the periauricular area. You can see patients with initial miniaturization on donor while at norwood 2/3 level, and patients at norwood 5 level with perfect donor. DUPA can begin at a early baldnes stage or not be present at all, there is not a rule. This why Finasteride is ofter considered an assurance for long term maintainance. Example: This one is a doctor Pekiner's patient, norwood 5 level, donor is perfect   This is a norwood 2 patient, he has diffuse miniaturization on all donor and surgery had to be postponed after deciding to raise finasteride dosage.  
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