3500 FUE Grafts – Scheduled with Dr. Bhatti (Darling Buds) on 18th March 2019 :)

[paddyirishman]

Your very welcome hlptoronto. 

Yes aloe vera promotes hair growth and comes from a green plant which grows on the Arabian gulf (  I think ) it is also has other great health benefits I mentioned above also helps to lower cholesterol. It is packed with vitimins however it does not have any vitiman D but we can get that from so many things anyway and as you are also taking multivitamins you have that box ticked also.

I would not be an expert in any way shape or form Its my viewpoint.

........all the best for now......

.............Paddy..........

 

 

 

 

 

 

.

[paddyirishman]

Thanks Lenney  for that info on the Kirkland brand minox.

Are their any side effects ?

......Thanks Lenney.....

............Paddy......

10 minutes ago, Lennney said:

If I may suggest, try or at least look into Kirkland brand minox. I typically buy it at about $19 USD or so on Amazon. I also put it on my "list" and check prices periodically. I stock up when you see it fall in price. If you haven't already used it before, use camelcamelcamel to find if you're getting a deal, a steal or are getting ripped off. 

 

[Lennney]

13 minutes ago, paddyirishman said:

Thanks Lenney  for that info on the Kirkland brand minox.

Are their any side effects ?

......Thanks Lenney.....

............Paddy......

 

Only one I've ever used. No issues. Kirkland brand stuff is Costco house brand, and Costco is legendary in their approach to providing quality to customers. I get the standard itchiness that's associated with the liquid minoxidil, but it is so inexpensive (and works so well) that I've not had to switch. I tried the foam, but it all doesn't penetrate the scalp. I did not like the dropper, and I probably use less than the 1ml. I swapped out that Indian rogaine spray I got from Bhatti and it was a perfect fit. Now I use the spray nozzle. Pic to show old cap and the spray nozzle.

[CosmoKramer]

2 hours ago, Lennney said:

Only one I've ever used. No issues. Kirkland brand stuff is Costco house brand, and Costco is legendary in their approach to providing quality to customers. I get the standard itchiness that's associated with the liquid minoxidil, but it is so inexpensive (and works so well) that I've not had to switch. I tried the foam, but it all doesn't penetrate the scalp. I did not like the dropper, and I probably use less than the 1ml. I swapped out that Indian rogaine spray I got from Bhatti and it was a perfect fit. Now I use the spray nozzle. Pic to show old cap and the spray nozzle.

Hey @Lennney 

Good advice on purchasing Kirkland brand minox, I just like to add that when purchasing on Amazon always best to be sure you are buying it directly as “Sold by Amazon” or a 3rd party seller that has a high rating and sales count otherwise there is a possibility it may be counterfeit / knock off.

[HLPToronto]

6 hours ago, Lennney said:

Now I use the spray nozzle. Pic to show old cap and the spray nozzle.

 I also like using spray instead of dropper. Its recommended to use spray for good coverage for first 6 months when grafts are growing. Once /IF you achieve density after  6 months, then dropper is better. 

By the way, thanks for sharing good info about Kirkland.  As we know, Rogaine - tugaine - Kirkland are different brands/companies but 5% minox is the main component in all of them and that is mainly required for the scalp. 

Do you know if Kirkland product has something else/ more than regular minox ? 

Its really good prices, rogaine is almost double here in canada. But I can drive 1 hour, enter New york/Buffalo border and walmart there in USD is much better in price. Many people from toronto buys rogaine from that walmart in niagra falls NY side. 

Its in my head that rogaine is # 1   I think every brand is good and price wise, kirkland seems better as well.

[HLPToronto]

3 hours ago, CosmoKramer said:

I swapped out that Indian rogaine spray I got from Bhatti and it was a perfect fit.

Lol   what a coincidence to find exact cap size from two different product manufacturers 

[Lennney]

1 hour ago, HLPToronto said:

Lol   what a coincidence to find exact cap size from two different product manufacturers 

Trust me, I tried on a whim. I used the dropper for a month and did not like it. KEEP YOUR SPRAY TOP(s)!!!!

I did a cursory search and found this: https://www.groomingadepts.com/hair-loss/treatments/kirkland-minoxidil-vs-rogaine/

It is a investigation into the inactive ingredients, and is 2 years old. I will reiterate that Costco is probably one of the most ethical and consumer friendly companies in the world. People have also said that Grey Goose vodka is Kirkland brand vodka: https://rebelbartender.com/2011/07/14/review-kirkland-signature-vodka-or-is-it-or-is-it-not-grey-goose/

I don't have a Costco membership, but I love store brand generics and especially love Kirkland's signature.

Give it a shot! Most generics are made in the same place as the name brand, "Many generic brands are the exact same product as the name brand. They are even manufactured in the same facilities! The only difference is the generic brand is packaged differently." - https://www.onegoodthingbyjillee.com/generic-vs-name-brand-which-should-you-buy/

I can help explain the theory behind this fact if you're interested. It increases sales of the product (of the minox or the vodka or whatever) and yet preserves the "integrity" of the name brand by not cheapening it. Tide or Persil can continue to charge what they charge, and will make additional sales through the store brand generic detergent. This may be why there are common parts between the two minoxidil manufacturers. It is simpler to consolidate a supply chain to make a single uniform product to accommodate changes in demand rather than a variety of shapes and sizes which all have various manufacturing methods and manufacturers. 

I agree with @CosmoKramer , but it would be wild to see someone make a knockoff of a generic! That being said, the supplier for Amazon is Costco themselves. 

I don't work for Costco, but would mind it. I can definitely get behind this company. It's a company that isn't "grimy".

[CosmoKramer]

5 hours ago, Lennney said:

Trust me, I tried on a whim. I used the dropper for a month and did not like it. KEEP YOUR SPRAY TOP(s)!!!!

I did a cursory search and found this: https://www.groomingadepts.com/hair-loss/treatments/kirkland-minoxidil-vs-rogaine/

It is a investigation into the inactive ingredients, and is 2 years old. I will reiterate that Costco is probably one of the most ethical and consumer friendly companies in the world. People have also said that Grey Goose vodka is Kirkland brand vodka: https://rebelbartender.com/2011/07/14/review-kirkland-signature-vodka-or-is-it-or-is-it-not-grey-goose/

I don't have a Costco membership, but I love store brand generics and especially love Kirkland's signature.

Give it a shot! Most generics are made in the same place as the name brand, "Many generic brands are the exact same product as the name brand. They are even manufactured in the same facilities! The only difference is the generic brand is packaged differently." - https://www.onegoodthingbyjillee.com/generic-vs-name-brand-which-should-you-buy/

I can help explain the theory behind this fact if you're interested. It increases sales of the product (of the minox or the vodka or whatever) and yet preserves the "integrity" of the name brand by not cheapening it. Tide or Persil can continue to charge what they charge, and will make additional sales through the store brand generic detergent. This may be why there are common parts between the two minoxidil manufacturers. It is simpler to consolidate a supply chain to make a single uniform product to accommodate changes in demand rather than a variety of shapes and sizes which all have various manufacturing methods and manufacturers. 

I agree with @CosmoKramer , but it would be wild to see someone make a knockoff of a generic! That being said, the supplier for Amazon is Costco themselves. 

I don't work for Costco, but would mind it. I can definitely get behind this company. It's a company that isn't "grimy".

All true what you state @Lennney above, Most all big brands also produce the same goods just repacked for their off-brand clients with very little differences in quality if any.

Yeah, Costco is great both for their products and services and consumer friendly approach but also the way they treat their employees, and I’ve read times, polls that show corporate responsibility and employee happiness that Costco is always rated about the top of the list, and this is why I do not mind paying their yearly membership fee (10-years now) as I have the executive membership that gives a Costco cash 2% rebate in the mail to me at the end of every year which covers the cost of the membership fee for me as well as a little extra to shop with and I love it.

Yes, only purchase is it says ‘Ships and Sold by Amazon’ or a highly rated 3rd party seller, but you must look before placing in cart, and yes it’s common for many counterfeit consumer items to be sold on Amazon by 3rd party sellers so you definitely don’t want to take the chance with a medication...ever.

[Lennney]

I've also been researching a little on my own some alternatives to the tinfal. I will be running out in the next 3 months or so, and I wanted to know what either of you use for biotin + folic acid, if anything. The tinfal I have is 5mg of biotin and 5mg of folic acid. I am having a hard time finding such a large dose on Amazon. Some pills have 5000mcg (5mg) of one, but like 300mcg of the other. Should I suck it up and take two pills instead of my one?

I know Bhatti recommends biotin pills for the recovery period, but should I consider staying on them indefinitely?

Is it important to get 5mg and 5mg after 8 months, or should I look for a reduced dosage?

Thanks for any help! 

[jonnyalex]

8 hours ago, Lennney said:

I've also been researching a little on my own some alternatives to the tinfal. I will be running out in the next 3 months or so, and I wanted to know what either of you use for biotin + folic acid, if anything. The tinfal I have is 5mg of biotin and 5mg of folic acid. I am having a hard time finding such a large dose on Amazon. Some pills have 5000mcg (5mg) of one, but like 300mcg of the other. Should I suck it up and take two pills instead of my one?

I know Bhatti recommends biotin pills for the recovery period, but should I consider staying on them indefinitely?

Is it important to get 5mg and 5mg after 8 months, or should I look for a reduced dosage?

Thanks for any help! 

Been using 10k Biotin for years. It 100% improves the actual quality and thickness of the individual hairs and makes it grow quicker. It does the exact same for nails. Just be careful if you are prone to acne. 

[paddyirishman]

1 hour ago, jonnyalex said:

Been using 10k Biotin for years. It 100% improves the actual quality and thickness of the individual hairs and makes it grow quicker. It does the exact same for nails. Just be careful if you are prone to acne. 

Johnny what do you mean by 10k Biotin please?  Do you mean a 1mg or 10mg?

If one is on a good balanced diet which is part and parcel of the pre a post HT process biotin is in lots of healthy foods anyway. Be carfull not to over do it. .

.............Paddy..........

 

 

 

 

[Shera]

37 minutes ago, paddyirishman said:

Johnny what do you mean by 10k Biotin please?  Do you mean a 1mg or 10mg?

If one is on a good balanced diet which is part and parcel of the pre a post HT process biotin is in lots of healthy foods anyway. Be carfull not to over do it. .

.............Paddy..........

 

 

 

 

Hi Paddy, he means 10mg which is equivalent to 10,000 mcg.

You are right in saying a good balanced diet should provide all the Biotin we need.  As for overdoing it, Biotin is considered very safe and any excess is passed through the body.

On another note, one of your fellow Irishman, the Pogues’ Shane MacGowan says Guinness is the only proven hair loss treatment.

He's quoted here.

“They sell all those lotions to cure you of baldness… They don’t work. There is only one way to cure baldness – you pour Guinness over your head, collect it in a bucket, and drink it in the morning,” he says. “It’s proven to work.”

We all might be missing a trick there

[Lennney]

6 hours ago, jonnyalex said:

Been using 10k Biotin for years. It 100% improves the actual quality and thickness of the individual hairs and makes it grow quicker. It does the exact same for nails. Just be careful if you are prone to acne. 

Since being on tinfal, I haven't had *too many issues with acne. I had a lot as a teen, but my adult skin does fairly well. Thanks for the 10mg perspective and the effects. Now, do you take any folic acid? Does your 10mg biotin include any? I did see a 10mg biotin and like 100+ (3+ month) version being sold on Amazon for like $10. I was just curious if I should supplement it with folic acid or if an an increased dose in biotin would "balance" the decrease in FA.

Truth be told, I've never put too much though into the thickness of my hair, but I like it as it is, and not just the HT hair. I do infact loose less hair when I dry my hair after showers. 

I'm just trying to pin the culprit of the improvement to biotin and/or FA. And the dosage... I know they're both vitamins which are water soluble (excess is peed). Again, thanks for 10k suggestion!

[HLPToronto]

5 hours ago, Lennney said:

Tinfal,

Hi Lennney, 

Thanks for your continued support and knowledge sharing with us. Great info indeed. 

I will also finish my tinfall stock in the next 3 months

Two questions:

Many good options for biotin out there, Biotin 1000 ug.

• Have you made any final decision based on your own research for the next biotin brand on your table for next 1 - 5 years if you decide to continue taking it ? 
• Also, you basically said Kirkland minoxidil is better and also cheaper than Rogaine ( almost half the price).                  this is a win win situation. Not sure why rogaine is #1 sold brand then worldwide and in the US also ? I need to make a decision on buying minoxidil stock also and need to stick with one brand in the long run  confused 

Edited June 24, 2019 by HLPToronto

[Lennney]

Double posted. Don't know how it happened. Deleted this version.

Edited June 25, 2019 by Lennney
Double post.

[Lennney]

2 minutes ago, Lennney said:

I am thinking of continuing approximately 5mg of biotin. I am a little nervous of taking 10mg, and I don't want to go below 2.5mg. I was originally going to wean myself off of tinfal by cutting in half for a month and quarters for another month. But now I think I will keep on it. I saw on amazon there is a good reviewed brand for 10mg, 240 capsules for like $12usd Nutricost brand. I've seen several members taking a 10mg dose, so I'm not too worried about it, but I still am not certain how my body will react. These are also the capsule pills, which means I cannot cut them if they are too much.

I have also recently read that .8mg or 800mcg is more than the required dose of Folic Acid for several preventative treatments. I know we've been consuming more, but I am confident at anything 800mcg and up. Nature's Bounty on amazon is 500 pills of 800mcg for $9 usd. I will have to google both brands to make sure there are no controversies or any quality issues associated, but I think the best method may be two pills to do the job. By this logic, with a sufficient dose for both biotin and FA will run me 22.53 delivered to my house. 22.53 for 240 days which comes out to $2.82 USD per month for both $2.15 per month, much less expensive than tinfal or even other combo pill alternatives. Perhaps slightly less if I purchase a double pack of biotin. I did bad math, made the FA twice as expensive as I should have.

 

People buy Rogaine for the same reason they buy Tylenol and Viagra - because they are the "name" for their respective segments. People "google" when they search, even if bing has a better image search feature. It is less scary to buy Rogaine than it is "minoxidil". It is less scary to buy Viagra or Cialis than it is "sildenafil citrate" or "taladafil". It makes people more comfortable, and easier to understand. If a first time user purchases the name brand and likes it, chances are they will not purchase the generic due to not knowing the ingredients or the availability of generics, or, fear of consequences and poor performance. Most of a drug's costs are R&D, and the drug itself costs pennies per dose. Through use of limited time patents, pharma companies get monopoly for their drug for 15+ years, and generics take over after - sometimes operating the very factory that leaves the segment or reduces it's footprint in that segment.

I think for Kirkland brand minox,  the combination of "Costco" (which has it's own pharmacy for it's customers), and "minoxidil" (which is the longest running hair treatment on the market for both men and women) are safe bets. Costco will continue to manufacture minox for the foreseeable future. It's just too popular a medication, and Costco is too reliable a distributor. 

 

Edited June 25, 2019 by Lennney
Bad math

[HLPToronto]

50 minutes ago, Lennney said:

think for Kirkland brand minox,  the combination of "Costco" (which has it's own pharmacy for it's customers), and "minoxidil

Thanks again Lennney ! this helps to solidify my decision and I am going to try Kirkland minox ( with extra strength )  

if its cheaper in the long run, reliable and  equally or less/more effective  then i think its a good costco product and should be on walmart shelfs too but walmart only sells rogaine. 

I never knew any thing other than rogaine, also tugaine recently was introduced ( due  to darling buds clinic )

Regarding Biotin brand , let me know which one you select in the end. I am also doing some research on that.......

Edited June 25, 2019 by HLPToronto

[Lennney]

9 minutes ago, HLPToronto said:

Thanks again Lennney ! this helps to solidify my decision and I am going to try Kirkland minox ( with extra strength )  

if its cheaper in the long run, reliable and  equally or less/more effective  then i think its a good costco product and should be on walmart shelfs too but walmart only sells rogaine. 

I never knew any thing other than rogaine, also tugaine recently was introduced ( due  to darling buds clinic )

Regarding Biotin brand , let me know which one you select in the end. I am also doing some research on that.......

Will do. I don't know if I want to commit now or in two months... I am a hoarder, so it may be difficult for me to only have one or two months of medication.

[paddyirishman]

On 6/24/2019 at 10:24 AM, Shera said:

Hi Paddy, he means 10mg which is equivalent to 10,000 mcg.

 

 

You are right in saying a good balanced diet should provide all the Biotin we need.  As for overdoing it, Biotin is considered very safe and any excess is passed through the body.

On another note, one of your fellow Irishman, the Pogues’ Shane MacGowan says Guinness is the only proven hair loss treatment.

He's quoted here.

“They sell all those lotions to cure you of baldness… They don’t work. There is only one way to cure baldness – you pour Guinness over your head, collect it in a bucket, and drink it in the morning,” he says. “It’s proven to work.”

We all might be missing a trick there

Thanks Shera for clarifying that on Biotin. 

As for the subject of pouring Guinness over your hair its very interesting you mentioned that.  My wife keeps telling me her grandmother often told her to make sure to pour Guinness over her hair to make it  strong ,silky and shiny  . You would leave it soak into your hair for 10 minutes and pour luke warm water over your hair to rince it out.

Back in those times many people of her generation done this to improve their hair. Guinness has great properties and is well know to have loads of Iron in it. Thats why doctors of my wifes grandmother generation were telling their patients to drink Guinness to get plenty of Iron into the blood for recovery of illness. 

As for Shane MacGowen yes what an interesting thing he said about Guinness. Id say he is right.  But I wouldnt drink it out of the bucket 🤣

Everytime you hear that famous Christmas song The Streets of New York and    "The bells were ringing out for Christmas Day ",    it would make the hair stand on the back of your head.

..................Paddy.............

 

 

.

 

[Jhonny]

23 hours ago, HLPToronto said:

Thanks again Lennney ! this helps to solidify my decision and I am going to try Kirkland minox ( with extra strength )  

if its cheaper in the long run, reliable and  equally or less/more effective  then i think its a good costco product and should be on walmart shelfs too but walmart only sells rogaine. 

I never knew any thing other than rogaine, also tugaine recently was introduced ( due  to darling buds clinic )

Regarding Biotin brand , let me know which one you select in the end. I am also doing some research on that.......

Hi mate,

if it helps I tried Minox from Kirkland extra strenght and made my scalp super itchy. had to sop.

I switched to Rogaine now and it's fine, no itchiness. As far as efficency i have no idea, honestly taking minox for the last 8-10months haven't seen any difference.

 

[HLPToronto]

1 hour ago, Jhonny said:

Hi mate,

if it helps I tried Minox from Kirkland extra strenght and made my scalp super itchy. had to sop.

I switched to Rogaine now and it's fine, no itchiness. As far as efficency i have no idea, honestly taking minox for the last 8-10months haven't seen any difference.

 

Thanks Jhonny  

Overall rogaine seems to be a better choice then ( worth extra price) 

You switched to rogaine foam or liquid ?

[Jhonny]

I use Rogaine Foam which is called Regaine in Australia because of some trademark issue. On special I can get the 4months supply here for $80AUD which is not too bad.

I tried also Foligain and like Kirkland was very unconfortable.

Edited June 26, 2019 by Jhonny

[Jhonny]

I see you are also after Biotin. I usually buy it on iherb.com

Great prices and a very wide choice of products. Very detailed description of the products. Last night I did a bit of research into Biotin brands and came up with these 3 being the best according to some comparison websites:

• Sports research with coconut oil
• Solgar
• Zhou Nutrition’s HAIRFLUENCE

I have no idea if these are any better than others. I will give them a try probably.

I hope it helps.

Cheers

[Gabreille Nelson Mukhia]

On 3/29/2019 at 10:23 AM, HLPToronto said:

Also, In Dr. Bhatti's words as I specifically had a discussion with him, thru email and on Day 4 another chat regarding DHT method : 

 

Eugenix and DHI both have not produced a single case to the community in which the full procedure was recorded 

Doctors wanting to observe the procedure in one clinic were unsuccessful since they were told they came late and the procedure was already over!

We did this technique in 2009 the first time but since have abandoned it like many clinics the world over since the procedure is fatiguing both for the doctor and the patient and the procedure cannot be done in a single day.

As you know if a procedure is stretched over several days, it becomes painful since the healing process takes effect the next day and local anesthetist does not act as well.

We started using the INVIVO preservation of grafts in which we do not extract them simultaneously with the coring (harvesting) of grafts but do it together at the end so the Out of Body Time is shorter.

This was I have been able to decrease the ischemia time of grafts to less than 3 hours which is the best that can be done.

You also need to know that it is not the technique alone that counts. Patients only want results, a safe procedure and continued interaction with the doctor, preop, perop and postop.

My take on DHI method ( another note from Dr Bhatti with his approval to share if I feel like ) 

(DHT is not copyrighted).

1. When the head is turned to one side when the surgical team is harvesting, you cannot strategically place the singles, doubles and multiple hair grafts which you otherwise can as per plan. You are constrained by the direction in which the head is. 

2. While harvesting, the head keeps shaking and it is impossible to be comfortable while planting. The plantation process is as it is a laborious time consuming task. Making it more difficult will hinder efficiency and hence quality of result.

3. DHI method ignores a very important part of placement and that is the curl of the hair in the graft. In prone position, it is very difficult to determine while introducing the grafts. This is important for a natural result.

3. While planting we proceed from the leading edge of the hairline backwards. This is reversed when the patient is in face down position and hence cannot allow good density to be maintained since grafts will keep popping out.

DHI results in before and after pictures and on videos have been shown in shadow especially from the top and this adds gist to the rumor that DHI does not produce density and the technique should be abandoned.

It is merely a gimmick. To counter this claim, DHI has to show a full case without edits where it is done for 3000 grafts.

Till then it is not verifiable if it is a technique or a marketing gimmick. We have a host of them these days in times of aggressive posturing by clinics.

Direct hair implantation is touted as a technique since may years but the clinics that do it are not able to demonstrate the outcomes of the procedures. Also these techniques have a higher price per graft and most patients are discouraged due to this given rise to speculations tht it is just another marketing gimmick.

In our clinic we preserve the graft in its normal milieu where it continues to imbibe blood circulation since it remains attached to the body and contained in a cylindrical hole in which the partially detached graft  is bathed with plasma all around.

The grafts are kept moist with PRP + A-Cell.

No preservative can do better.

This technique is only used when the out of body time will be more than 45 minutes.

For procedures upto 1200-1500 scalp grafts this preservation is not necessary. Traditional preservation fluids are good enough.

Our technique has withstood the test of time over last 10 years when we first started using it.

 

It has been wrongly thought and propagated by some people that Direct hair transplantation (DHT) is impossible to perform and those claiming to perform DHT are actually not doing simultaneous extraction and implantation. However, that's not true.

This idea was first conceived, and published by Dr Arika Bansal and Dr Pradeep Sethi. 

The publication link is mentioned below:

 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3764754/

 

They have been able to demonstrate this technique through live surgery workshops at various conferences. 

1. Chandigarh CUTICON 2013

2. Kolkata ACSICON 2015

3. ACSI live surgery workshop in hair transplant was conducted at Eugenix in April, 2019.

They have also demonstrated to this technique to various doctors coming to Eugenix for training, fellowship programs and workshops.

Infact, Eugenix became the first centre to be accredited for training fellows by the National Dermatology Society (IADVL).

Dr Pradeep is a professor of Hair transplant surgery at DY Patil University and involved actively in research and technology development related to the field of hair transplant. 

The unique idea of making the recipient sites beforehand and then doing extraction & implantation simultaneously has actually enabled them to reduce the out of body time drastically. Moreover, the unique implantation method by using implanters in pre made sites, we are able to implant in any position. This enables extraction and implantation to go on simultaneously in lateral positions (both right and left) and prone position.

[Lennney]

59 minutes ago, Gabreille Nelson Mukhia said:

It has been wrongly thought and propagated by some people that Direct hair transplantation (DHT) is impossible to perform and those claiming to perform DHT are actually not doing simultaneous extraction and implantation. However, that's not true.

This idea was first conceived, and published by Dr Arika Bansal and Dr Pradeep Sethi. 

The publication link is mentioned below:

 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3764754/

 

They have been able to demonstrate this technique through live surgery workshops at various conferences. 

1. Chandigarh CUTICON 2013

2. Kolkata ACSICON 2015

3. ACSI live surgery workshop in hair transplant was conducted at Eugenix in April, 2019.

They have also demonstrated to this technique to various doctors coming to Eugenix for training, fellowship programs and workshops.

Infact, Eugenix became the first centre to be accredited for training fellows by the National Dermatology Society (IADVL).

Dr Pradeep is a professor of Hair transplant surgery at DY Patil University and involved actively in research and technology development related to the field of hair transplant. 

The unique idea of making the recipient sites beforehand and then doing extraction & implantation simultaneously has actually enabled them to reduce the out of body time drastically. Moreover, the unique implantation method by using implanters in pre made sites, we are able to implant in any position. This enables extraction and implantation to go on simultaneously in lateral positions (both right and left) and prone position.

Fantastic article link Nelson. I'll check the references to the conventions later when I have more time, but I read the article and it was very informative. References 5 and 13 are the largest "cons" of DHT, and seem to persist with the past and even improved methods:

It is undeniable that DHT is more time consuming and requires more focus than the alternative methods. (#5)

It is also therefore related that the increased focus and time consuming nature will be more prone to H errors. (#13). 

This isn't a critique of Eugenix, but the process. I know Eugenix works to get it right by using the two+ named docs (I mean this as "not amateur" but skilled docs) for a single surgery (at least that's what I understand, perhaps only one doc is used for surgeries of 2000+ grafts).

A key issue Bhatti brings up is the medium which suspends the hairs for FUE and FUT. He says that there is great success with it, and it may not be worth the added "effort" to use the DHT method (costs, additional docs, concentration required).

The article mentions Limmer, and his survival article from 1996. I bring this up because in the last 23 years, the HT medical community has come a long way. I can't pull the article up (maybe if I have more time and my computer, I can research it more), but perhaps his method of suspending the hairs is different and worse than the current methods Bhatti uses (and by extension, other docs use). I mean this as: perhaps graft survival as it is related to time-out-of-body isn't an issue that needs attention (perhaps compared to the other named issues of "physical handling, mechanical trauma, chances of desiccation, hypoxia, infection and grafts getting heated heated"  sorry for formatting I didn't want text to be big, and I wanted to *strike* hypoxia, but can't on mobile...)

With the claims of improvement from DHT over the traditional FUE and FUT methods, it would be beneficial for everyone involved to do a comprehensive controlled study of efficacy between those 3 methods. 

I think it's beneficial for patients everywhere if any 1(+) method is statistically superior to the other(s). 

Again, solid info as always Gabrielle! Thanks for the read!