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2061 FUE with Dr Serdar Caglayan - Michigan


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Had an FUE procedure done with Dr Serdar Caglayan back in September.  2061 grafts were completed after an all day procedure.  Their whole staff were very friendly and welcoming. 

Overall, my experience was mostly positive.  Mainly using this as a blog to track my progress and see how things shape up over the coming year.  I'm currently taking finasteride and biotin and also use biotin shampoo.

Graft breakdown:

1 (181), 2 (688), 3 (828), 4 (207), 5 (101), 6 (56), total hairs 5710.  When I initially got the breakdown, I was a little surprised with the number of 4s, 5s, and 6s grafts because from what I read around here, most patients have 1-3 hairs per graft with some 4s.  I hope this doesn't result in a 'pluggy' look.  Additionally, I did get pitted depressions in the recipient area which can be viewed in the 1 month photo below.  I've read this can be the result when a larger # of hairs in a graft are transplanted.  Keeping my fingers crossed things are just early and still healing.  When I reached out to the clinic about this, I was instructed to apply iodine 3x a day for 3 days. 

Pre surgery: hair how it's normally styled (dry)

normal style - hair dry

Pre surgery out of the shower, damp/wet

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10.thumb.jpg.e5cb711b5fce7ac9562a33d120d3e131.jpg12.thumb.jpg.889eecaa2297d05b0a34c3b064e5c8ec.jpg13.thumb.jpg.3ad6a1ff12585afae75728cdf7772708.jpg15.thumb.jpg.82d72a730095cf4441644018463f3329.jpg16.thumb.jpg.593521adc7847c4c3d0c11eec8ec3955.jpg17.thumb.jpg.61b41dfb779ef79c7175b56576541c8c.jpg

After Surgery:

 

26.thumb.jpg.04c1c5f1becb6be9d602275f0cd5d04a.jpg24.thumb.jpg.791133e81025e6d8b8d0c9a487f5a05b.jpg23.jpg.eb670b5cf4d036d2c8b8cc36783ceaf7.jpg22.jpg.f3e68cb799a370cb9167435daa67c473.jpg

 

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About 2 weeks out, scabs mostly gone.  The hairs in the hairline go in a very straight side by side line.  Hoping this doesn't look unnatural when it grows in.  What are your thoughts on this as well as the angle of the hairs? 

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1 Month shows a lot of shock loss.  I was ready for this but in addition to the transplanted hair, a lot of my native hairs from an earlier transplant are also gone.  Hopefully they come back if they weren't damaged by the current transplant.  The picture that shows the circling on my left area is the best picture i could get to show the pitting I mentioned earlier.  This occurs in many areas throughout the recipient area but is hard to capture.

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Donor area after 1 month.  Looks pretty good in my opinion:

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I'll keep this updated each month and answer any questions you may have! 

 

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  • 1 month later...
On 11/26/2020 at 10:12 PM, anker21 said:

How many grafts did you have from your first procedure? Your scar hides well even with short hair. How are things now?

For my first procedure, it was probably close to 10 years ago and I think it was around 2300 grafts and I did luck out with a narrow scar! 

At the two month mark, things are going ok... it's the ugly duckling stage as they say so I'm just trying to stay positive for the next couple months.  I had a lot of shockloss to my existing hair in the front 3rd of my scalp.  Most (if not all) were transplanted from my first surgery 10 years ago and I'm hoping these return soon.  If anyone has a comeback story or knowledge of transplanted hair suffering from shockloss coming back, let me know!  Like I said, most of these shocklossed hairs were transplanted so I don't believe they'd be miniature hairs on their way out. 

I trimmed up my sides today (#3 guard) and haven't touched the top since surgery.

New hairs have begun to appear, which can be seen in the pics below and is encouraging.  Hoping for many more to be sprouting soon! 

Donor.thumb.jpg.3b5c964c05aaeb233f97ff80bafc14b3.jpgFront.thumb.jpg.12f537f20adeebbd21ab010323739545.jpgFront2.thumb.jpg.7e8c1f735a24fc9e3d8ed37a3b5b8b6f.jpgFront3.thumb.jpg.c97b082e27f0b53c3ae453580d8178ff.jpgTop.thumb.jpg.d91244973c22c8f1d66e470afe3aeb83.jpgTop2.thumb.jpg.1d6e6fa49e8a6e54dd8e3d5ac9f92a42.jpgTop3.thumb.jpg.d486c5c5a5233d36c976653492cd0443.jpg

 

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  • 5 weeks later...
On 10/27/2020 at 9:16 AM, Brad189 said:

Had an FUE procedure done with Dr Serdar Caglayan back in September.  2061 grafts were completed after an all day procedure.  Their whole staff were very friendly and welcoming. 

Overall, my experience was mostly positive.  Mainly using this as a blog to track my progress and see how things shape up over the coming year.  I'm currently taking finasteride and biotin and also use biotin shampoo.

Graft breakdown:

1 (181), 2 (688), 3 (828), 4 (207), 5 (101), 6 (56), total hairs 5710.  When I initially got the breakdown, I was a little surprised with the number of 4s, 5s, and 6s grafts because from what I read around here, most patients have 1-3 hairs per graft with some 4s.  I hope this doesn't result in a 'pluggy' look.  Additionally, I did get pitted depressions in the recipient area which can be viewed in the 1 month photo below.  I've read this can be the result when a larger # of hairs in a graft are transplanted.  Keeping my fingers crossed things are just early and still healing.  When I reached out to the clinic about this, I was instructed to apply iodine 3x a day for 3 days. 

Pre surgery: hair how it's normally styled (dry)

normal style - hair dry

Pre surgery out of the shower, damp/wet

1.thumb.jpg.a2ecbd6761e70a9fcf5050553e4b2347.jpg

2.thumb.jpg.a587d4d09980ffd71a71de008a0f73f8.jpg

10.thumb.jpg.e5cb711b5fce7ac9562a33d120d3e131.jpg12.thumb.jpg.889eecaa2297d05b0a34c3b064e5c8ec.jpg13.thumb.jpg.3ad6a1ff12585afae75728cdf7772708.jpg15.thumb.jpg.82d72a730095cf4441644018463f3329.jpg16.thumb.jpg.593521adc7847c4c3d0c11eec8ec3955.jpg17.thumb.jpg.61b41dfb779ef79c7175b56576541c8c.jpg

After Surgery:

 

26.thumb.jpg.04c1c5f1becb6be9d602275f0cd5d04a.jpg24.thumb.jpg.791133e81025e6d8b8d0c9a487f5a05b.jpg23.jpg.eb670b5cf4d036d2c8b8cc36783ceaf7.jpg22.jpg.f3e68cb799a370cb9167435daa67c473.jpg

 

21.jpg.20eb113dac39210b291609845a163b9e.jpg

About 2 weeks out, scabs mostly gone.  The hairs in the hairline go in a very straight side by side line.  Hoping this doesn't look unnatural when it grows in.  What are your thoughts on this as well as the angle of the hairs? 

1.thumb.jpg.0d9ac5be75c9bb9b0617ea3b2b7085fa.jpg

4.thumb.jpg.ff3bc8c317d4251a032a85e481aaa5b2.jpg

 

1 Month shows a lot of shock loss.  I was ready for this but in addition to the transplanted hair, a lot of my native hairs from an earlier transplant are also gone.  Hopefully they come back if they weren't damaged by the current transplant.  The picture that shows the circling on my left area is the best picture i could get to show the pitting I mentioned earlier.  This occurs in many areas throughout the recipient area but is hard to capture.

7.thumb.jpg.a3beef4a6eb674e3d92ca74eb0d4b5d9.jpg

5.thumb.jpg.f4f0d4cefa4654b41be896c48bfb73c4.jpg

Donor area after 1 month.  Looks pretty good in my opinion:

3.thumb.jpg.a253e9213504232ba0c20abe06482b26.jpg

I'll keep this updated each month and answer any questions you may have! 

 

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This is really, really, really low level work. I would brace for the worst and heavily research on forums like this for potential future surgeons if you require repair work. This surgeon is a nobody that shouldn't be in the industry within serious retraining to lift his standards. 

Best case scenario in my opinion is it will look very thin but natural. Worst case is a low growth rate with a pluggy appearance. At least your donor doesn't look terrible but I hope you have enough grafts to correct the situation. 

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3 month pics below.

RE Jay's comment, I had consulted with the only top doctor within my travel range, Dr. Nadimi, but she was pushed out till 2021.  If I was going to have the procedure done at all, I wanted to get it done before my Covid work from home period was over.  Because of this, I went with a local Dr (Caglayan) and understood they weren't a doctor on this forum.  It was a risk I was willing to take since I wouldn't consider the procedure at all, had I not had the downtime from work.  If this procedure provides a result I'm not happy with, I'll likely buzz my head and be done with any procedures. 

The pictures were taken under bright lights and new hairs are beginning to sprout.  It's still a bit early so I'm hoping for the best!

 

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45 minutes ago, Brad189 said:

I had consulted with the only top doctor within my travel range, Dr. Nadimi, but she was pushed out till 2021.  If I was going to have the procedure done at all, I wanted to get it done before my Covid work from home period was over.  Because of this, I went with a local Dr (Caglayan) and understood they weren't a doctor on this forum.  It was a risk I was willing to take since I wouldn't consider the procedure at all, had I not had the downtime from work.  If this procedure provides a result I'm not happy with, I'll likely buzz my head and be done with any procedures.

Why? What? 

You did research and know which clinics are good and which not...and you throw all this away and go to a no name clinic? Just to gain a few month (it is already December 2020!). With an unnatural recipient you cannot even buzz your hair and look normal (I am not saying this will happen, but this is what you risked and there are some warning flags which you already mentioned yourself).

I usually do not say this so early in the process, as everyone is very nervous and sensitive at this stage, but this is exactly how it should NOT be done. 

Of course, I still wish you the very best, but as @JayLDD just said: The area appears huge for the amount of grafts. 

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1 hour ago, Gasthoerer said:

Why? What? 

You did research and know which clinics are good and which not...and you throw all this away and go to a no name clinic? Just to gain a few month (it is already December 2020!). With an unnatural recipient you cannot even buzz your hair and look normal (I am not saying this will happen, but this is what you risked and there are some warning flags which you already mentioned yourself).

I usually do not say this so early in the process, as everyone is very nervous and sensitive at this stage, but this is exactly how it should NOT be done. 

Of course, I still wish you the very best, but as @JayLDD just said: The area appears huge for the amount of grafts. 

To answer your question, again it was because I didn't want to go back to work with my head freshly operated on.  It being December now has nothing to do with anything.  Regarding the buzz comment, my hair prior to this procedure was already spotty.  To sum it up, I wasn't going to get any procedure unless I was able to do this during lockdown and any top level doctor was booked outside this period.  I understand the risk I took and was simply looking for some improvement over where I was previously.

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you're gonna get a lot of flak on here for not waiting 6 months to a year to get in with an elite doctor. I do understand your reasoning tho. I can't comment on the prognosis but I hope it turns out well. 

Regarding the transplant shock loss question, I am not an authority on the matter, but I would say transplant hair shock loss has a much stronger chance than native hair to come back. However, there is always the chance shock loss hair does not come back. 

Also be cautious on claims of shock loss. It of course is a real condition, but just saying in my own narrow personal experience, "shock loss" is an easy excuse for doctors to use, to cover up a mistake on their end, such as underestimating the # of grafts needed, transection of grafts, or some other human-error cause. 

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