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elicochin

One Final validation (and push) from you all before I take the plunge!

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Hi All,

My names is Josh and a BIG THANK you to all those who contribute to this forum and host it. I greatly appreciate this and wish to thank you personally! I am very excited to inform you that I have decided to go with Eugenix in India for my HT surgery. I'm 52 years old, although my hair loss began around 25 and I think I'm now a NW6. I believe that my hair loss/balding has been stable for more than 6 years or so. I've never taken any hair loss medication of any kind ever and not planning to take any in the future as well. I have been trimming my hair to zero for more than 8 years or so. The pictures in my profile are very recent. (Link to my Profile pictures)

My HT Objectives: Reconstruction of an age appropriate (high and receded) hairline and temples with dense and natural look. Coverage of frontal scalp, mid-scalp with moderate coverage of crown. Ability to keep buzz-cut hairstyle after HT.

Background: I consulted with Dr. Arika Bansal (mostly) and Dr. Pradeep Sethi over WhatsApp with help from their business rep (Nelson) in June. They were patient in listening to my needs and going over various options. After a series communication lasted over multiple days, Dr. Arika Bansal provided the following assessments and suggestions: (Please note I have summarized the following from multiple chat sessions and there may be gaps since I have yet to be sent to Eugenix for their confirmation)

Hair-loss Condition: Grade 6 baldness with good donor supply

Estimated HT grafts: Combined total of 3800/4500 grafts

Procedure: 2-day DHT procedure

 

Two options were discussed with conservative hairline approach

OPTION1: (with 2000 scalp extraction and 2000 from Beard)

Cover more area and the crown left would be much lesser.

OPTION2: (with 1500 scalp extraction and 2500 from Beard)

Limit extraction from scalp to avoid visible donor thinning allowing buzz-cut.

 

Procedure:

Scalp grafts are for the mainstay of hairline and temple restoration and provide much denser look than beard grafts. Beard grafts to be used for mid-scalp and crown. Temporal hump hair will not be extracted as they may undergo loss in future 4 to 5 years. If you want to keep the option of buzz cut in future, then there will be a zone of donor thinning that would be evident. This donor thinning is inevitable (hence the option2 was suggested and to be discussed further). Beard donor scarring is minimal, to the extent that it is not visible to the naked eyes. However, there will be microscopic scarring. It would be a two-day procedure since it would be difficult to cover this fully in 1 day.

Suggested Donor Areas:

Scalp 1500/2000 grafts

Beard 2000/2500 grafts

Chest Up to 500  grafts (to be discussed further)

 

Suggested Recipient Areas

Temporal points: 200 x 2 = 400

Hairline: 400

Frontal Scalp Behind Hairline: 400

Mid-scalp: 1500 (option to use only 1000 for medium density)

Crown: 1500/2000 (to be discussed and finalized)

 

As you can imagine, I am overwhelmed as much as excited by my decision and would need your help and validation (and a final push :) ) before I reach out to Eugenix to schedule the surgery date.

Thank you

-Josh

Edited by elicochin

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Hello Josh ,  I just had my HT with Dr Bansal and Dr Sethi @Eugenix Hair Science . I had just under 700 grafts removed fron the beard mostly under the chin , and they were implanted into mid scalp.

You are going to really doctors and a wonderful team .  

I have just written my own thread about my whole experience and will be updating soon again.

All the best for now Josh 

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

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Can you post photos of your entire head? I am particularly interested in seeing the top and the back. Are you dipping? Any signs of retrograde?

No meds? You are asking for trouble.

I gather, if you're a six, you have some native hair around the perimeter of the crown.  Go ahead and put some grafts in that area, you gradually continue dipping, you've just created a smile in the back.  We call this "chasing the pattern."  You'll end up little to no donor - and will be stuck for the rest of your life.

I understand not wanting to take internal meds given all the hoopla, but get yourself a laser, maybe even Rogaine.

I have homework for you....Go to the mall....Look at people with a pattern similar to you.  A true class 6 does not have hair such as you've described.  Look also at a class 5.  They have an empty crown, have a strong forelock with some hair in the mid scalp.  That's what you should be trying to accomplish so that others don't give you a second look.  It's amazing what having hair in the middle and the top can do for people.  And, keep in mind, we all share a weak back due to the whirl.

Honestly, I would get on meds, stay on them for a year. See what you accomplish and then decide what to do.  This may give you options you don't seem to have at this point. 

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Hi LaserCap, Thank you for your comments and suggestions. Please find the requested photo attached; hope this helps.

I also wanted to get your opinion on a small FUE with SMP considering I have been buzz-cutting my hair for more than 8 years now. What would you think of a very low density FUE hair transplant with like 100 - 200 grafts in the hairline and mid-scalp to have a thicker, better and more realistic hairline and even less grafts  for the crown zone like 15 grafts/cm^2 ? Would it give the illusion of less bald?  So a person could potentially have a 4000-4500-5000 grafts all over the head, let the hair  grow 2-3 mm and have a better illusion and a darker head that would appear hairy enough.

Josh

IMG_6650.jpg

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I hope things turn out well for you. I know there are some very good clinics over seas as well as many more not so good clinics. However, one of my concerns would be if a patients was having a problem they would not be able to just go back to clinic to have their doctor take a look and treat the problem. However, I have been contacted on several occasions by doctore from other countries to see their patients here in Florida and try to help them with any problems they have. 

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@elicochin you could also consider concentrating on the front and mid scalp and as far back you can go. Leave your crown alone for now.

See how your doner is when things settle down , take it one step at a time.

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

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Thank You Paddy!

I think we are on the same in terms of approaching it in multiple steps.

-Josh

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16 hours ago, Dr. Glenn Charles said:

I hope things turn out well for you. I know there are some very good clinics over seas as well as many more not so good clinics. However, one of my concerns would be if a patients was having a problem they would not be able to just go back to clinic to have their doctor take a look and treat the problem. However, I have been contacted on several occasions by doctore from other countries to see their patients here in Florida and try to help them with any problems they have. 

Thank you for your comments Dr. Glenn. I am very much aware of this situation. Some of the forum members stayed back after the surgery (in the same area/country) for post-op/care by the clinics for a week or so. I am considering this as an option.

-Josh

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@elicochin . Hello Josh. I have posted a thread about my recent experience for scalp and beard doner with information and tips and pictures you will find usefull for your journey.

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

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Why would you want a HT in the first place? I'm not saying you shouldn't do it - but the relatively bald head looks pretty good on you, plus you don't have that much donor hair left..

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