Regular Member HTjon Posted October 13, 2020 Regular Member Share Posted October 13, 2020 Dear Forum, herewith I report about my hair surgery with Dr. Feriduni on 09/08/2020. A total of 3,782 follicles were placed. I hope that the report will help some of you. Of course, I am happy about comments about the pictures, which I will post regularly. 1. Why Feriduni and preliminary talks 2. Approach & Hotel 3. Step 1: Personal talk in the clinic 4. Step 2: The surgery 5. Step 3: Follow-up inspection and treatment 6. Healing process 7. Summary 1. Why Feriduni and preliminary talks I have had hair loss since I was 20 years old. Now, with 31, it became then sometime too much for me and I have dealt intensively with the topic hair transplantation. Five months passed between the initial decision to have a surgery and the actual surgery appointment - so it went relatively quickly. I started by reading through many reports in forums. (That is why I am writing this report to say "Thank you! 😊) And somehow I got involved with Feriduni from the beginning. His results convinced me the most. In addition, I simply could not find a single bad result of Feriduni. There are certainly other good clinics, but as I said, I decided relatively early. As you know it from most clinics, Feriduni offers a contact form on his homepage, where you can provide pictures and ask for a possible surgery scenario. The preliminary offer sent to me was more than satisfying. So I asked for the next step, what a personal conversation with Feriduni was. Due to Corona, however, this was a zoom meeting. But here Feriduni gained my complete trust through his professional, empathic and optimistic manner and I absolutely wanted to have a hair surgery. So I picked a free surgery appointment, took two weeks vacation and booked everything. Although my anticipation increased, the biggest uncertainty was that Feriduni could never "examine" me personally, but only via a webcam. Well, no risk no fun. 2. Approach & Hotel The cheapest and fastest way to get there was a flight to Düsseldorf and from there I took a rental car to Hasselt (about 1.5 hours by car). In Hasselt I stayed at the HasHotel, which offers special conditions for Feriduni patients. I can absolutely recommend the HasHotel. But make sure that you stay in the newly built building complex. The rooms are huge, modern and stylish. Costs for flights, rental car, fuel, hotel: approx. 900€ However, these are the costs for two people, because my girlfriend accompanied me and I covered all the costs. If I would have travelled alone the costs would have been reduced by about 350€. 3. Step 1: Personal talk in the clinic The day before the operation I went to the clinic for the first time and had a personal conversation with Dr. Feriduni. There we went through all data & facts of the preliminary talk again and my head was measured for the first time (dimensions & donor analysis). I was attested that I am a very good candidate for hair surgery. However, since my hair loss is not yet complete, I have to be prepared for one, if not two more surgeries in the course of my life. However, I knew this before or after my zoom meeting. But my donor gives away 13,000 follicles, which according to Feriduni is far above average. I was lucky. The last thing he did was to draw the hair line. Feriduni asked me constantly about my wishes, but finally I gave him a free hand. In principle, he considers everything for the hairline: the number of grafts in the donor for further operations; the general shape of the face as well as personal wishes. When the hairline was finished and I was more than satisfied, Feriduni asked me if I could just leave the hairline on until the next day. Normally, the line is drawn again on the day of the surgery, but Feriduni said that he could not make it better. And we would save time on the day of the operation itself. So I agreed and I walked around the rest of the day with a line on my head. 😊 For tomorrow's surgery 3,500 grafts are planned. But I was also told that the need for grafts during surgery may change again. 4. Step 2: The surgery At 7:30 a.m. I was picked up at the HasHotel by a cab at Feriduni's expense. Once I arrived at the clinic, I was assigned a personal room where I could change my clothes. They explained to me briefly what was going to happen today and then it already started. The first thing they did was to shave my hair. A short look in the mirror afterwards and I thought to myself: "Damn, looks actually quite good with 1mm. " Anyway, I am happy anyway. I then sat down on the operating chair and the anesthetic syringes were given to me. Absolutely painless. It was almost more painful to place the cannula in the crook of my arm for the saline solution. The anesthesia worked after a few seconds and I had to turn around to remove the grafts. This was by far the most strenuous part for me as a patient. For about 4 hours I lay on the operating table on my stomach and was not allowed to move. In the beginning it is all easy, but after a few hours you tense up and you feel an incredible pressure on your lungs. But you knew what you were getting into. So everything is not that bad. The removal of the grafts was done with two surgical aids and a third surgical aid, which took care of the counting. A total of 3,670 grafts were removed in this step. Dr. Feriduni then placed the slices. From now on I sat comfortably in the operating chair. I was offered to watch Netflix, which I did for a few minutes. But then I switched the television off again. Somehow I didn't feel like it at all and I think the sedative I was given kicked in slowly and I started relaxing and dozing. The grafts are placed all over the front area, so even where I still had hair. Dr. Feriduni said that these hairs will support the look at first, but if they fall out over time, I will still have a natural look. Next, the surgical aids put the grafts that were initially removed back into the slices that were placed right before. All unspectacular. You just sit there and do nothing but wait. You can't see what is happening up there. When all the grafts were placed, Dr. Feriduni decided after the checkup that he needed another 120 grafts. So I went through all the steps mentioned above again in a quick run until the desired final result was achieved. The whole operation took about eight hours. Dr. Feriduni said that 3,782 grafts for one day is a lot and that this does not happen too often in the clinic. This is also due to the fact that we worked through without any complications and without a break. (A break was offered to me, but I declined with thanks). The surgical nurses and Dr. Feriduni himself were very enthusiastic about my results. Of course, one cannot say whether they say this to every patient or whether it was really true. In any case, I did not have the impression that anything was being played to me. According to my unprofessional opinion, I am quite satisfied after the operation. Then post-op pictures were taken and I was finally allowed to take a cab back to the hotel, exhausted but happy at Feriduni's expense. 5. Step 3: Follow-up inspection and treatment The next day I went back to the clinic for a follow-up check and for washing. This was all done by a surgical aid. Unfortunately, I scratched my head the first night, so I lost exactly one follicle. Well, one follicle is bearable I think. But with that I was sensitized that I have to be very careful. That's why from now on I "tied myself up" with a bathrobe belt at night to avoid touching my transplanted grafts again unintentionally. Apart from that I was confirmed that everything looks very good. Then it was explained to me again in detail how I should use the care products that I received. This included a spray to be applied regularly, a lotion to soften the crusts and an oil against itching in the donor area. Also included was a shampoo for the first time and a cooling pad for the swellings. Medications were also included, which were used up after about two weeks. I also got an app for my cell phone, which shows me how to take care of my hair every day. Very helpful. In addition, the app uses a traffic light system to show what is prohibited and what is allowed (sleeping horizontally, sports, sex, headgear, etc.). Afterwards I started my return journey. By the way, completely without headgear. It was more important to me not to cause any damage than to be looked at in a strange way. But the latter actually did not happen. 6. Healing process - Day 0: No pain. Just a great feeling of pressure around the head. I took a painkiller pro forma to get a good night's sleep. - Day 1: Apart from the not painful but strange feeling of pressure on my head, I don't notice anything at all. - Day 13: I remove the complete crust after soaking my head in cling film with lotion half an hour before. The redness at the transplanted area is really limited. That was my biggest worry. - Day 14: It feels like everything has healed. From now on I only feel numbness in the transplanted area, but this is gradually diminishing. But even today (day 35) I still feel numbness. - Day 15: Tomorrow I will go to work again. After consultation with Dr. Feriduni, I may carefully trim my hair in the donor and reception area to 1mm with a hair clipper. This is what I have done. I actually like the look on 1mm quite well. Until today I wear my hair on 1mm. So far no one has noticed that I had a hair transplant. In principle, this would not have been bad, but of course it's quite pleasant if you don't notice it at work at all. Everyone just thought that I shaved my hair off. My plan now is to wear my hair on 1mm six months postoperatively and let it grow from then on. 7. Summary I am completely satisfied with how everything went. Of course I can't make any comparisons, but I don't know what should have gone differently or better. And since I'm only 1 month post-op, I can't say anything about how satisfied I am with the final result. But I am carefully optimistic. Many thanks to Dr. Feriduni and his whole team! If the result should be good, I will have my further operations performed by Dr. Feriduni without much consideration. Dr. Feriduni and his team act very professionally. It should be said that Dr. Feriduni is of course the boss in his clinic, but he acts at eye level with his assistants. Some of them have been doing the job for over 20 years and I have always felt that I was in good hands. For me it didn't matter at all that Feriduni didn't do everything himself. (Which wouldn't have been possible anyway with this number of grafts). Attached you'll find picture pre op, post op, 7 days post op, 10 days post op and 14 days post op. I will keep you updated. 3 Link to comment Share on other sites More sharing options...
Senior Member Britanium Posted October 13, 2020 Senior Member Share Posted October 13, 2020 Thanks for posting a nice detailed write up. You chose a excellent Dr so I have no doubts you will get a equally good result. So they said you potentially had about 13k worth of grafts available? 1 Link to comment Share on other sites More sharing options...
Administrators Melvin- Admin Posted October 13, 2020 Administrators Share Posted October 13, 2020 Thanks for sharing your journey with us, Dr. Feriduni is an awesome surgeon, he’s transformed many on this forum. Like @Swill I’ll be following your results closely happy growing 🙏🏼 1 I’m a paid admin for Hair Transplant Network. I do not receive any compensation from any clinic. My comments are not medical advice. Check out my final hair transplant and topical dutasteride journey: View my thread Topical dutasteride journey Melvin- Managing Publisher and Forum Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q&A Blog. Follow our Social Media: Facebook, Instagram, Linkedin, and YouTube. Link to comment Share on other sites More sharing options...
Senior Member giegnosiganoe Posted October 13, 2020 Senior Member Share Posted October 13, 2020 Thanks for posting, I've wanted to see more threads on Feriduni. Some questions: Are you taking any medication? In the midscalp where he still placed plenty of hairs, I guess he carefully placed them between the native hairs? Do you know if your hair shaft diameter is fine, medium, or thick? Do you know what were grafts counts for 1s, 2s, 3s, and 4s? Link to comment Share on other sites More sharing options...
Regular Member HTjon Posted October 13, 2020 Author Regular Member Share Posted October 13, 2020 1 hour ago, JohnAC71 said: Thanks for posting a nice detailed write up. You chose a excellent Dr so I have no doubts you will get a equally good result. So they said you potentially had about 13k worth of grafts available? Yes, Dr. Feriduni said something like: "You will have more donor hair left after your surgery than most of my patients have before their first one". I hope he is right and did not say that just to reassure me. 1 hour ago, Melvin-Moderator said: Thanks for sharing your journey with us, Dr. Feriduni is an awesome surgeon, he’s transformed many on this forum. Like @Swill I’ll be following your results closely happy growing 🙏🏼 Thanks! 11 minutes ago, giegnosiganoe said: Thanks for posting, I've wanted to see more threads on Feriduni. Some questions: Are you taking any medication? In the midscalp where he still placed plenty of hairs, I guess he carefully placed them between the native hairs? Do you know if your hair shaft diameter is fine, medium, or thick? Do you know what were grafts counts for 1s, 2s, 3s, and 4s? So far I didn't take any medication. After this surgery I started with Minoxodil (Regaine) for my tonsure area. So that I can push my second surgery as far back as possible. I think Feriduni did not really pay much attention to the remaining hair in the midscalp area. He assured me that if this hair continues to fall out, the look will look natural. Maybe I have already lost some of the remaining hairs due to the surgery. But for me the front area is now finished. The punch size is mentioned as "WAW trumpet punch 0,85". Graft counts: Single FU's: 400 Double FU's: 2284 Triple FU's: 1088 Feel free, if you have more questions. 1 Link to comment Share on other sites More sharing options...
Regular Member Cardin1977 Posted October 13, 2020 Regular Member Share Posted October 13, 2020 Magnificent! You must be chuffed 😄 Link to comment Share on other sites More sharing options...
Senior Member giegnosiganoe Posted October 13, 2020 Senior Member Share Posted October 13, 2020 I would also be interested to see pics from the side view Link to comment Share on other sites More sharing options...
Regular Member HTjon Posted October 13, 2020 Author Regular Member Share Posted October 13, 2020 1 hour ago, giegnosiganoe said: I would also be interested to see pics from the side view HEre you are. 1 Link to comment Share on other sites More sharing options...
Senior Member Curious25 Posted October 13, 2020 Senior Member Share Posted October 13, 2020 Be nice to follow a Feriduni case, I've not seen a patient posted one of his for a while. I have always been super impressed by his work, and regard him very highly - your post op pictures are testimony to this. !3,00 grafts available, wow! Do you know what your donor density FU per cm2 was? Will look forward to following your journey over the next 12 months Link to comment Share on other sites More sharing options...
Senior Member hairlossPA Posted October 14, 2020 Senior Member Share Posted October 14, 2020 this looks like amazing work. nice and clean. nice donor extractions. already a huge improvement Link to comment Share on other sites More sharing options...
Senior Member giegnosiganoe Posted October 14, 2020 Senior Member Share Posted October 14, 2020 Is there any reason you aren't taking finasteride? Did Feriduni recommend it? Link to comment Share on other sites More sharing options...
Regular Member HTjon Posted October 14, 2020 Author Regular Member Share Posted October 14, 2020 2 hours ago, giegnosiganoe said: Is there any reason you aren't taking finasteride? Did Feriduni recommend it? Dr. Feriduni recommended that I take fin, but I decided against it for personal reasons. The possible side effects are too extreme for me. Link to comment Share on other sites More sharing options...
Senior Member Curious25 Posted October 14, 2020 Senior Member Share Posted October 14, 2020 (edited) 3 hours ago, HTjon said: Dr. Feriduni recommended that I take fin, but I decided against it for personal reasons. The possible side effects are too extreme for me. Given you have the financial capacity for future surgery, with a donor of 13,000 . . I wouldn’t even spare a second thought on taking finasteride in your position. Edited October 14, 2020 by Curious25 Link to comment Share on other sites More sharing options...
Regular Member HTjon Posted October 14, 2020 Author Regular Member Share Posted October 14, 2020 (edited) 3 hours ago, Curious25 said: Given you have the financial capacity for future surgery, with a donor of 13,000 . . I wouldn’t even spare a second thought on taking finasteride in your position. Exactly my thoughts. It only would help me to postpone my second surgery. And as you said the biggest problem is the financial aspect. Since Feriduni is a very expensive clinic, I'm saving up for the next surgery today. Edit: By expensive I don't mean that it's not worth it. Edited October 14, 2020 by HTjon 1 Link to comment Share on other sites More sharing options...
Senior Member giegnosiganoe Posted October 14, 2020 Senior Member Share Posted October 14, 2020 9 hours ago, HTjon said: Dr. Feriduni recommended that I take fin, but I decided against it for personal reasons. The possible side effects are too extreme for me. I would recommend doing more research into it, and ultimately giving it a try. The large majority of people don't get side effects, and those that do can try lowering the dosage or simply stopping using the drug. There's much to gain, even in an ideal candidate like yourself. The fearmongering of finasteride needs to stop... Link to comment Share on other sites More sharing options...
Senior Member Curious25 Posted October 15, 2020 Senior Member Share Posted October 15, 2020 On 10/14/2020 at 5:54 PM, giegnosiganoe said: I would recommend doing more research into it, and ultimately giving it a try. The large majority of people don't get side effects, and those that do can try lowering the dosage or simply stopping using the drug. There's much to gain, even in an ideal candidate like yourself. The fearmongering of finasteride needs to stop... Disagree. Fear mongering has no relevance in this instance, OP states ‘Dr. Feriduni recommended that I take fin, but I decided against it for personal reasons. The possible side effects are too extreme for me.’ This suggests to me that OP has in fact already done his research, and he has came across the fact that there is a possibility of a variety of unwanted side effects, as is clearly stated by the manufacturer and prescribing doctors. He has therefore concluded that ‘the possibility’ of these side effects are too extreme for his preference - percentages of users who experience side effects is irrelevant - it’s the fact that there is a possibility. People need to understand that some are more risk averse than others, and prioritise other areas of their health and well being above hair loss. Link to comment Share on other sites More sharing options...
Senior Member giegnosiganoe Posted October 15, 2020 Senior Member Share Posted October 15, 2020 16 minutes ago, Curious25 said: Disagree. Fear mongering has no relevance in this instance, OP states ‘Dr. Feriduni recommended that I take fin, but I decided against it for personal reasons. The possible side effects are too extreme for me.’ This suggests to me that OP has in fact already done his research, and he has came across the fact that there is a possibility of a variety of unwanted side effects, as is clearly stated by the manufacturer and prescribing doctors. He has therefore concluded that ‘the possibility’ of these side effects are too extreme for his preference - percentages of users who experience side effects is irrelevant - it’s the fact that there is a possibility. People need to understand that some are more risk averse than others, and prioritise other areas of their health and well being above hair loss. I'm making some assumptions here based on limited information, but I would happily bet that the fearmongering has contributed to his decision. It's not logical to avoid even trying finasteride just because you might be in the small % of users who get temporary side effects. Best of luck to the OP though - he's very lucky to be in a position where he may still get a satisfactory result. 1 Link to comment Share on other sites More sharing options...
Senior Member Curious25 Posted October 15, 2020 Senior Member Share Posted October 15, 2020 20 minutes ago, giegnosiganoe said: I'm making some assumptions here based on limited information, but I would happily bet that the fearmongering has contributed to his decision. It's not logical to avoid even trying finasteride just because you might be in the small % of users who get temporary side effects. Best of luck to the OP though - he's very lucky to be in a position where he may still get a satisfactory result. But your logic in this case is subjective to the individual. For example; If a person weights their cognitive function as being a, if not the, fundamental component that contributes towards their quality of life, and their hair loss is merely a bugbear, Then medication which is potentially able to address the bugbear, however comes with a recognised side effect profile that suggests cognitive function may be adversely affected, their logic would be to prioritise what they deem to be a more valuable attribute to their day to day life, and avoid something that may pose a risk to this, in the vain of trying to address what they perhaps deem as a minuscule issue in comparison. In this scenario, the same logic would be applied regardless of whether the individual has read a 1000+ ‘Scare mongering’ threads relating to brain fog, or from just having simply had a consultation with an ethical prescribing doctor, who by duty of care has advised of possible side effects. 2 Link to comment Share on other sites More sharing options...
Regular Member Swill Posted October 28, 2020 Regular Member Share Posted October 28, 2020 Hi HTJon, First of all, congratulations with your procedure and that was a great write up. I too have had two procedures with Dr Feriduni (the most recent was last month) and have provided write ups on this site. I thought you would be interested to know given what you wrote that it is not always the case that Dr Feriduni praises everyone as a great candidate for hair transplantation surgery. I can confirm that prior to my first procedure he took a great deal of time discussing the potential limitations of my procedure given that my hair is relatively thin (certainly far more so than yourself) and also about my hairline placement taking into account that I went to him last year looking for a repair from a procedure I had many years ago, which went badly, so he was certainly more cautious about my available grafts and results than he was with you (13,000 is amazing!). That aside, I am incredibly happy with my results, he really has done a great job with me and from your pictures you look as though you will get a great result. Also, I will respectfully have to disagree with giegnosiganoe regarding his comments on finasteride and 'fear mongering.' I don't often go into depth on my experiences with the drug, as the last thing I wish to do is preach and I appreciate it is a hot topic particularly in the HT community and everyone should make their own choice. I however will say that my experience with the drug and the side effects I suffered (after 7 years of usage without any) were absolutely horrific and I would not wish them on anyone. These came on at the beginning of 2013 and still persist (thankfully to a lesser extent) to this day... it is the most challenging thing I have ever been through. It is everyones choice and I totally respect that, and it may only effect a certain small subset of people, but referring to the side effects as always temporary and concern on the topic as fear mongering is ignorant in my opinion. Good luck with the growth! 1 Link to comment Share on other sites More sharing options...
Senior Member win200 Posted October 28, 2020 Senior Member Share Posted October 28, 2020 Looks terrific. Feriduni is super consistent and this hairline design is great. 1 Link to comment Share on other sites More sharing options...
Administrators Melvin- Admin Posted October 30, 2020 Administrators Share Posted October 30, 2020 Everything is looking great 👍🏼 1 I’m a paid admin for Hair Transplant Network. I do not receive any compensation from any clinic. My comments are not medical advice. Check out my final hair transplant and topical dutasteride journey: View my thread Topical dutasteride journey Melvin- Managing Publisher and Forum Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q&A Blog. Follow our Social Media: Facebook, Instagram, Linkedin, and YouTube. Link to comment Share on other sites More sharing options...
Senior Member ShadowMoon Posted October 30, 2020 Senior Member Share Posted October 30, 2020 On 10/15/2020 at 4:24 PM, Curious25 said: But your logic in this case is subjective to the individual. For example; If a person weights their cognitive function as being a, if not the, fundamental component that contributes towards their quality of life, and their hair loss is merely a bugbear, Then medication which is potentially able to address the bugbear, however comes with a recognised side effect profile that suggests cognitive function may be adversely affected, their logic would be to prioritise what they deem to be a more valuable attribute to their day to day life, and avoid something that may pose a risk to this, in the vain of trying to address what they perhaps deem as a minuscule issue in comparison. In this scenario, the same logic would be applied regardless of whether the individual has read a 1000+ ‘Scare mongering’ threads relating to brain fog, or from just having simply had a consultation with an ethical prescribing doctor, who by duty of care has advised of possible side effects. Cognitive function is not listed as a possible side effect of finasteride by any clinical study. Neither is "brain fog." I have taken fin for over two years, have no side effects, experienced great regrowth, only regret is waiting as long as I did or I probably wouldn't have even needed a transplant. 1 Link to comment Share on other sites More sharing options...
Regular Member HTjon Posted January 9, 2021 Author Regular Member Share Posted January 9, 2021 Four months have passed, that's why I post an update. As I wrote in the outgoing post, I still wear my hair very short (1 mm). In the photos, however, I haven't shaved my hair for about two weeks. Brief summary of my healing process so far: Really nobody noticed that I had a HT. Growth is progressing continuously, but I hope that more will come and it will become even denser. My donor area is still a little bit holey. I hope that it is a shock loss and that it will recover. Overall, I'm satisfied with the way things are going. 👍 Link to comment Share on other sites More sharing options...
Senior Member Britanium Posted January 9, 2021 Senior Member Share Posted January 9, 2021 For only 4 months out your progressing really well ! I agree that you might have a touch of shock loss. Look forward to subsequent updates 👏 Link to comment Share on other sites More sharing options...
Regular Member HTjon Posted March 6, 2021 Author Regular Member Share Posted March 6, 2021 6 Month Update! It is slowly getting denser. After taking the photos, I again shaved my hair to 1mm, but I think I'll let it grow now. Have actually gotten used to the short hair quite well though. Other than that, I think my tonsure has gotten worse since the OP. This is despite the fact that I started taking Monaxidil after the OP. Either it's not working for me or I've had a real boost in hair loss over the last six months. If I am very unlucky, my tonsure will look really bad when I let my hair grow long and I will have to continue living with my short hairstyle until I can afford a second surgery. Link to comment Share on other sites More sharing options...
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