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nick1111

One man's journey to a full head of hair with Dr Konior

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History before My Hair Transplant Surgery-

I first noticed my hair loss at the age of 24,I began to notice thinning in my crown area along with receding hairline. As a result I started feeling self-conscious in public. I naturally have very fine hair which has always made it a challenge to cover up my receding thinner areas.

Next Steps And Why I Chose Dr Konior:-

At my 30’s, hair loss was at its worse. After trying numerous different shampoos and products available on the market with no improvement, I started researching the possibility of a hair transplant. After a long process of narrowing down few surgeons by reading through the websites, blogs and chatting with few senior members in this forum (which truely helped me a lot), I couldn’t stop noticing that Dr.Konior had one of the best reputation in the lot with great results. 

Finally I decided to pull the trigger and scheduled a meeting in person with Dr Konior last year.After examining my hair, he suggested that since I have a weak donor area (specially on both the sides), my case needs to be handelled strategically. The best way to proceed would be to go through a combination of FUE and FUT to get desired number Of grafts.I felt very confident after meeting him and decided to book my surgery with him. It felt like a perfect choice and worth waiting an year (because of his busy schedule).Dr konior and his office staff has always been available from the very begining until the day of my surgery.

Experience on the Surgery Day:-


On the day of my surgery, the staff and doctor were very gentle and cordial to all my needs and my questions.

Doctor took an hour to  analyse my hair, scalp, designing my hairline and strategy to proceed with combination of both FUT and FUE. We decided to focus on a decent frontal look for now  and leave the crown area for future. He also examined my beard and chest hair for future use and luckily it has potential of another 3000 grafts in case a need arise in future to use them.

After a 12 hour surgery(which went very smooth), I was thrilled to see my new hair line. I must say Dr konior is very knowledgeable and hard working. He was present throughout my entire surgery and managed to get around 2500 grafts of my week donor area.

It has been 3 days post my surgery and I have been going daily to the clinic for check up and cleaning.

I felt that comfort and personnel attention from the staff during all my visits.

I am waiting for my hair to grow now!! Very excited!!

Below are some of my pre and post op pictures. 

Top_PreOp.jpg

Front_PreOP.jpg

Front_PostOp.jpg

Back_PostOp.jpg

Top_PostOp.jpg

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Your donor looks very sparse, maybe it’s just the picture though, what did Dr.Konoir say about your donor?


I do not provide medical advice, recommendations, all responses are my opinion.

My Hair Transplant Journey

Melvin- Associate Publisher and Forum Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q&A Blog.

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Hi Melvin,

 

I agree that donor is very week as told by doctor as well after seeing this picture. This picture was taken just after an aggressive hair cut.  But after direct examination by doctor, he mentioned that a central patch  in the back of my head is comparatively better and a short strip can be taken from there followed by more hair via FUE from different places to reach the desired number of grafts and to ensure that the scar is not visible. Attaching another picture  before hair cut.

Back_PreOp.jpg

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Hey man, congrats on your produce, mine will be on Oct with Dr.konior :)

My donor is also pretty weak and his the only doctor I felt confidence to go with, your work look so clean, I'm sure you will be happy with your results.

Do you know how thick and wide he did your scar? It seems like this scar is going to be invisible, it also seems it doesn't even get close to your ear so I assume it's less than 20 cm length?

 

And one last question, did he notice retrograde alopecia in your hair? It seems like your losing some hair in your nape area or it's just the picture? 

 

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Thanks Aaron and best of luck for yours. How many grafts are you planning in your case?

Yes the work was so clean that even the doctor seemed happy about it. I am satisfied so far and hoping to get good results.

Scar is pretty sleek and I am happy to see that it came out the way it is. Dr. K did a great job.
Also, the scar length is pretty small as the doc wanted to cover just the high quality area with good density due to my weak sides.I am hopeful that it is going to be almost invisible in few weeks.

I am not so sure about retrogade alopecia but yes I have weak sides since childhood. I guess the nape area is looking very thin in only that pic due to the fact that the hair stylist kept my nape cut too low. Generally it is not that low and seems fine to me usually.

Just reached today back from Chicago after 8 days. I will post some fresh picture soon.

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Here are couple of pictures of the recipient and donor area on day 16. 

Most of the scabs and crust on the front have fallen off at this point. Got rid of the sutures at day 13. My local doctor who took the sutures out was very impressed with the fine incision  and sutures. He even mentioned that these are one of the best that he has ever taken out. (Still have little numbness near the incision. )

I was still in dilemma  to use Finasteride due to the side effects. So planning to use the topical Finasteride as I read in some threads that it has less side effects comparatively. (Please share your feedback if someone has used topical Finasteride before and how was the experience with the same in terms of the hair growth/retention and side effects)

 

 

 

Front_day16.jpg

Donor_day16.jpg

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On 9/27/2018 at 9:14 AM, nick1111 said:

Thanks Aaron and best of luck for yours. How many grafts are you planning in your case?

Yes the work was so clean that even the doctor seemed happy about it. I am satisfied so far and hoping to get good results.

Scar is pretty sleek and I am happy to see that it came out the way it is. Dr. K did a great job.
Also, the scar length is pretty small as the doc wanted to cover just the high quality area with good density due to my weak sides.I am hopeful that it is going to be almost invisible in few weeks.

I am not so sure about retrogade alopecia but yes I have weak sides since childhood. I guess the nape area is looking very thin in only that pic due to the fact that the hair stylist kept my nape cut too low. Generally it is not that low and seems fine to me usually.

Just reached today back from Chicago after 8 days. I will post some fresh picture soon.   

Hey man! so sorry on late respond for some reason I haven't received a notification,  I'm planning to have between 1,500-2,000 grafts at the very front.

I just saw your last post 16 days post op, man, that's amazing, such a thin scar I'm sure it's going to be pretty much invisible.

Any reason why you stayed in Chicago for 8 days? This was doctor konior recommendation? And one last thing, how long does it takes to take off the sutures? The reason I ask is because I'm planning to stay for 2 weeks and rather have it done by Doctor konior it self but not sure if it's acceptable or not to ask haha

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Thanks. I hope so.

I just wanted to be in town for few more days just in case something goes wrong and to get good post op care which was fantastic.

I had been going daily after the surgery for cleaning and stuff. My staples were out next day and sutures were taken out on 13th day by local doctor (usually taken out between 10-14 days). If you are in town for 2 weeks, somebody in doctors clinic will take them out for you.

 

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Added 3 pictures around 3.5 months. Starting to notice some new hair in the front. Hoping to get more density in the frontal region.

Observed some shock loss at the rear (below the FUT scar) 1 month post op  and got really worried. Spoke to doctor about it and he advised to wait until 3-4 months for shock loss to subside. It is far better now with some hair popping out lately below the scar. Will share the pictures of the scar at 4 months mark. 

Fingers crossed for months ahead. Let me know your comments about where I stand at this milestone based on your experience.

1.jpg

2.jpg

3.jpg

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You've made it through the dreaded early months now, and it should be all positive from here. Looks like some promising early signs there. Grow well.


I am an online representative for Farjo Hair Institute

 

Dr. Bessam Farjo is an esteemed member of the Coalition of Independent Hair Restoration Physicians

 

I am not a medical professional and my words should not be taken as medical advice. All opinions shared are my own.

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Your scar looks great. I don’t think konior would steer you wrong. The waiting game sucks as I’m going thru the same thing and we r roughly both on the same time frame since surgery

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Thanks JJ. Do you have any thread of yours or mind sharing your pictures. Who is your doctor?

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Looks really good so far Nick. 

Such clean work on both the scalp and donor site. 

Looks like it is going to be a really good result too if this is the growth already at month 3. 

I was thinking of Dr Umar or Dr Bhatti but have heard so many good things about Dr Konior, I may have to reconsider. 

 

Best of luck mate

 

MM

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Thanks Kraistoff. Saw your thread and growth looks very similar as mine. Are you using any products?

Good luck to both of us :)

 

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Thanks MM for the kind words. Yes Dr K is really good.  The best part is the post operative support and quick responses. It feels like he is always available and usually I get the replies  within minutes. I will recommend him to anyone.

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Hey Nick

 

how do you contact him? My rep has left, and I don’t get swift responses on email or WhatsApp 

 

can you PM me the address you have 


 

 

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Hi Nick, great choice to go with Dr Konior, from your pics you can already tell this is going to be a good result, the scar looks amazing as well. Best of luck with the growing...

In terms of the FUT/FUE mix that you had how does this work? Does he extract the strip via FUT first and then implant those and go back after to do the FUE? Really interested to know how the FUT/FUE mix works because you don't see these cases very often... thank you for sharing your experience bro.

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Hi Kiwi Guy,

Thanks.  As far as I remember, after extracting the FUT strip, technicians were dissecting the strip  and meanwhile  Dr K started extracting the grafts via FUE.  When all the extraction was done then doctor started implanted all the grafts. As per what I remember, Dr was also cognizant of the time as generally grafts have limited time after the extraction (but there are certain ways to retain the grafts as far as possible  without effecting the quality.). I personally didn't felt anything during surgery since was on Valium etc.

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2 hours ago, nick1111 said:

Hi Kiwi Guy,

Thanks.  As far as I remember, after extracting the FUT strip, technicians were dissecting the strip  and meanwhile  Dr K started extracting the grafts via FUE.  When all the extraction was done then doctor started implanted all the grafts. As per what I remember, Dr was also cognizant of the time as generally grafts have limited time after the extraction (but there are certain ways to retain the grafts as far as possible  without effecting the quality.). I personally didn't felt anything during surgery since was on Valium etc.

Oh ok that's how it works... yeah I was going to ask you about the time the grafts were out of the scalp as well so thank you for answering that. Are his prices $8 per FUE graft and $5 per FUT graft like most of the other clinics or did he charge you one rate for the two different extraction types?

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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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