Senior Member Britanium Posted September 20, 2021 Senior Member Share Posted September 20, 2021 @ClassygentlemanThanks for the update ! What are your thoughts moving forward ? Link to comment Share on other sites More sharing options...
Senior Member Classygentleman Posted September 20, 2021 Author Senior Member Share Posted September 20, 2021 Just now, JohnAC71 said: @ClassygentlemanThanks for the update ! What are your thoughts moving forward ? I think the density is still lacking, even with the PRP sessions I don’t think things are likely to get denser. I can still feel new hair is coming through the crown so slightly more hopeful there. I’m aware crowns can take up to 18 months. I’m also not sure how much will come in the way of improvements due to the hairs maturing? 1 Link to comment Share on other sites More sharing options...
Senior Member Britanium Posted September 20, 2021 Senior Member Share Posted September 20, 2021 Glad to hear you can feel hair coming through on the crown. But yes it’s definitely lacking in adequate density at this point. I cannot see it improving much more. I’m pleased the clinic is doing everything they can to support you. However before going for another pass I would try and find out what’s happened ? They mentioned some kind of irritation on your scalp ? Link to comment Share on other sites More sharing options...
Senior Member Classygentleman Posted September 20, 2021 Author Senior Member Share Posted September 20, 2021 3 minutes ago, JohnAC71 said: Glad to hear you can feel hair coming through on the crown. But yes it’s definitely lacking in adequate density at this point. I cannot see it improving much more. I’m pleased the clinic is doing everything they can to support you. However before going for another pass I would try and find out what’s happened ? They mentioned some kind of irritation on your scalp ? Yes, there was an irritation on the scalp but not something that should’ve affected the result having spoken to others. I’m unsure why density is lacking, there are a few of us in the same boat at the moment. I do wonder whether or not it has anything to do with technicians on the day or potentially the size of the procedure- It could be neither of those two things however at this stage lots of things go through your mind. The clinic have been good so far, I’ve received two PRP sessions and I have been offered a top up procedure if I’m not entirely happy. I am however concerned with what happens if I go to the same surgeon and get poor results from the top up procedure? I am then left with less options for the future. having said that, the doctor has managed to get great results for others so in theory, there should be no reason he is unable to achieve identity I’m looking for for the top up. The doctor thinks it may take around 500 grafts to achieve the level of density required, that feels low to me though? Link to comment Share on other sites More sharing options...
Senior Member Britanium Posted September 20, 2021 Senior Member Share Posted September 20, 2021 I like the after support they have offered and it’s good they stand by their work. However if it was me ? I would most likely go to another clinic for the second pass. As you rightly say what happens if you still get low growth ? I don’t think it was the techs or the size of the surgery. Maybe it is a scalp condition, maybe it’s something else. The more you can investigate the better. Link to comment Share on other sites More sharing options...
Administrators Melvin- Admin Posted September 20, 2021 Administrators Share Posted September 20, 2021 While the results may not be perfect, it’s a damn good improvement from where you started. A small touch-up in the hairline would get you right where you want to be IMO. 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 Britanium Posted September 20, 2021 Senior Member Share Posted September 20, 2021 And no I don’t think 500 grafts would be enough either. Maybe you could consult with some other clinics and get there recommendations ? At this stage you could most certainly start planning your next procedure. 1 1 Link to comment Share on other sites More sharing options...
Senior Member ITA Posted September 20, 2021 Senior Member Share Posted September 20, 2021 Yes, you need a new procedure, I agree with @Melvin- Moderator, great improvement where you started, hairline lacks density, but it's very natural. No 500 grafts would definitely not be enough, and yes, before doing anything else, pay a thorough visit to a trichology specialist, because from the photos of the procedure, we can see that the grafts have been placed in the hairline, but so many have not grown back. Link to comment Share on other sites More sharing options...
Senior Member JDEE0 Posted September 20, 2021 Senior Member Share Posted September 20, 2021 17 minutes ago, Classygentleman said: Yes, there was an irritation on the scalp but not something that should’ve affected the result having spoken to others. I’m unsure why density is lacking, there are a few of us in the same boat at the moment. I do wonder whether or not it has anything to do with technicians on the day or potentially the size of the procedure- It could be neither of those two things however at this stage lots of things go through your mind. The clinic have been good so far, I’ve received two PRP sessions and I have been offered a top up procedure if I’m not entirely happy. I am however concerned with what happens if I go to the same surgeon and get poor results from the top up procedure? I am then left with less options for the future. having said that, the doctor has managed to get great results for others so in theory, there should be no reason he is unable to achieve identity I’m looking for for the top up. The doctor thinks it may take around 500 grafts to achieve the level of density required, that feels low to me though? In my personal opinion, 500 is too low and you're going to need a bit more than that for sure to achieve good density (not including the crown for now - more so just the frontal third/half). I think something like 1200-1500 would give you a strong look in this area. I agree with John - I personally wouldn't go back somewhere that I didn't have the best growth with (unless they were H&W, Bisanga level etc in which case I would be much more worried it was due to my own physiology) and to be honest I don't think 5000 grafts grew in. As to why, who knows. If you had some sort of irritation etc then this could be a factor, but if you're saying there seems to be others in the same boat, it could be due to the handling of the grafts etc; they are extremely fragile. Again, I have no idea though. It seems like the clinic are doing what they can to rectify the situation, which I respect a lot, but at the end of the day, you don't have many grafts left to give now, so I would do some more research and go with someone very well respected and with a top notch reputation and decline the touch up from your original doc. 2 Link to comment Share on other sites More sharing options...
Senior Member Curious25 Posted September 20, 2021 Senior Member Share Posted September 20, 2021 1 hour ago, Melvin- Moderator said: While the results may not be perfect, it’s a damn good improvement from where you started. A small touch-up in the hairline would get you right where you want to be IMO. If you carefully look at this picture comparison .. . aside from the lighting being much more favourable in the ‘after’ photo - OP has his side hair combed over the mid section of his head, which is what is doing the majority of the work making the hair look fuller. The first picture has the side hair combed downwards, fully exposing the balding section. 6 Link to comment Share on other sites More sharing options...
Senior Member Britanium Posted September 20, 2021 Senior Member Share Posted September 20, 2021 (edited) Yes I don’t really see anywhere near enough of a improvement for nearly 5k worth of grafts. @Curious25is right in that the comb over is doing a lot of the work.. Edited September 20, 2021 by JohnAC71 1 Link to comment Share on other sites More sharing options...
Administrators Melvin- Admin Posted September 20, 2021 Administrators Share Posted September 20, 2021 If you look at the pre-op he had basically no hair in his crown, in this angle it’s pretty clear he has had a significant amount of growth in the crown. 2 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 Classygentleman Posted September 20, 2021 Author Senior Member Share Posted September 20, 2021 I have now attached some pictures in bright lighting with the hair brushed the same for a better comparison. I feel that I have a mild improvement but overall I’m not happy. Whilst my hair loss was advanced, for c5000 grafts this is not a good result whichever way you cut it. 1 Link to comment Share on other sites More sharing options...
Senior Member Britanium Posted September 20, 2021 Senior Member Share Posted September 20, 2021 I can’t disagree @Classygentlemanthis is a mild improvement. Investigation Is going to be needed to find out if anything prevented those 5k worth of grafts to grow. Seems like some did sure, but not enough. The crown has definitely improved. And a lot less grafts were implanted 🤨 I am in no way saying it was anything down to what the clinic did or didn’t do. Just something has occurred here and it would be prudent to try and find out what. Link to comment Share on other sites More sharing options...
Senior Member Classygentleman Posted September 20, 2021 Author Senior Member Share Posted September 20, 2021 Just now, JohnAC71 said: I can’t disagree @Classygentlemanthis is a mild improvement. Investigation Is going to be needed to find out if anything prevented those 5k worth of grafts to grow. Seems like some did sure, but not enough. The crown has definitely improved. And a lot less grafts were implanted 🤨 I am in no way saying it was anything down to what the clinic did or didn’t do. Just something has occurred here and it would be prudent to try and find out what. I agree @JohnAC71 something hasn’t worked. I do wonder if it was the handling of the grafts or the time they were out of the body etc. My biggest concern is that there are a few in the same situation as me, so makes me wonder if this is something that was/wasn’t done on the day. Link to comment Share on other sites More sharing options...
Senior Member JDEE0 Posted September 20, 2021 Senior Member Share Posted September 20, 2021 (edited) 1 hour ago, Classygentleman said: I agree @JohnAC71 something hasn’t worked. I do wonder if it was the handling of the grafts or the time they were out of the body etc. My biggest concern is that there are a few in the same situation as me, so makes me wonder if this is something that was/wasn’t done on the day. It's really quite hard to say to be honest, and you're never going to get a concrete answer. I would say this, consider a scalp biopsy to rule out LLP or any different forms of scarring alopecia. If all is clear, and it does turn out in time that there are indeed a decent amount of others in the same situation past the 12 month mark with similar issues, I think you'll be able to infer the likelihood of what caused your poor growth. If the trend continues beyond the people you already know of right now with new patients from the same doctor over the coming years lets say, then you can be pretty sure of what caused this for you at that point. Not that it will matter then anyway, best to just get the biopsy, forget about things if all is well with the results and proceed to move on to a Dr. with solid outcomes and reputation. Belgium/Spain/Portugal would be good bets, but I wouldn't go back for a free touch-up, you probably only have a few thousand grafts left at most. To be honest, you might be better off seeing someone who can mix some body (beard) hair in there even. depends on the supply and demand of your personal situation. Edited September 20, 2021 by JDEE0 7 Link to comment Share on other sites More sharing options...
Senior Member MachoVato Posted September 20, 2021 Senior Member Share Posted September 20, 2021 2 hours ago, Classygentleman said: I have now attached some pictures in bright lighting with the hair brushed the same for a better comparison. I feel that I have a mild improvement but overall I’m not happy. Whilst my hair loss was advanced, for c5000 grafts this is not a good result whichever way you cut it. I'm in agreement with you. 5000 grafts should be 10K hairs at least. Even at a lackluster 90% survival rate, 9k hairs would look much better than this. At this point, you'd need at least another 4k grafts to get a better hairline, density in mid-scalp, and decent crown coverage. HLC Ankara | 4261 Grafts | Nov 7, 2020 (Hairline) Dr. Bisanga, BHR Clinic in Brussels | 1528 Grafts | Aug 12, 2021 (Crown and Temples) Link to comment Share on other sites More sharing options...
Senior Member londonhairlossvictim Posted September 21, 2021 Senior Member Share Posted September 21, 2021 I just had a treatment with Dr. Arshad, this isn't the most optimistic thread to read through - Hoping you get it sorted with him and find out what happened, hoping it's a one off Link to comment Share on other sites More sharing options...
Senior Member ITA Posted September 21, 2021 Senior Member Share Posted September 21, 2021 @londonhairlossvictimLive your post-transplant as carefree as possible, it doesn't mean that if to @Classygentlemanit went wrong, the same thing will happen to you too, transplants, unless rely on top surgeons, it's a lottery. 1 Link to comment Share on other sites More sharing options...
Senior Member Classygentleman Posted November 28, 2021 Author Senior Member Share Posted November 28, 2021 12 Month Update: I am now exactly 12 months on from my surgery so am attaching the latest update with pictures in a multitude of angles, wet, dry and in bright lighting to try to replicate the pre op pics and be as transparent as possible. Clearly density is not where I want it to be and to sum things up I am disappointed in the result. At this stage I was hoping to be in a much better position (appreciative that I would of needed 2 surgeries for full density) I have been in contact with the clinic and they have so far given me 2 PRP and low level laser sessions to help growth but these haven’t really made a difference. They have been good in that they have been responsive and have told me they are committed to getting me the results we both expect and have offered me a free top up session - this would be for 1,000 grafts in the hairline. Leaving the crown for now as Dr A feels this is improving and still has time to further improve. I would welcome peoples thoughts here….. 1 Link to comment Share on other sites More sharing options...
Senior Member Curious25 Posted November 28, 2021 Senior Member Share Posted November 28, 2021 I am truly sorry to read this. You have taken pics in the worst possible conditions, how it is very unfortunately clear that you have experienced little to any growth at all, I’m afraid to say. The good - is that you still seem to have sufficient donor left over for further surgery, and that the clinic are being cooperative. If it was me, I would book in for a scalp biopsy and request a refund from the clinic, and NOT another surgery for free. I would use the refund to get surgery with a more renowned clinic or surgeon. Not all is lost, so please don’t lose hope. 1 Link to comment Share on other sites More sharing options...
Senior Member JDEE0 Posted November 28, 2021 Senior Member Share Posted November 28, 2021 I have to be honest for your sake here. There have been an alarming number of cases with poor growth from Arshad in the past year or so, especially if you go and look at on the UK forum. This has been said before, and it's been brushed off previously as many hadn't finished growing at that point, but its now been 12+ months for most of them, and they have had similar outcomes to yourself. It's clear as day to me that the something is not right with the clinic - don't go back. I mean, even their plan of 1000 grafts sounds like an approach that isn't going to do much to make you happy in another years time. Anyway, you don't have many grafts left now. I really would urge you to go to Europe and see a better doctor. 6 Link to comment Share on other sites More sharing options...
Senior Member londonhairlossvictim Posted November 28, 2021 Senior Member Share Posted November 28, 2021 13 minutes ago, JDEE0 said: I have to be honest for your sake here. There have been an alarming number of cases with poor growth from Arshad in the past year or so, especially if you go and look at on the UK forum. This has been said before, and it's been brushed off previously as many hadn't finished growing at that point, but its now been 12+ months for most of them, and they have had similar outcomes to yourself. It's clear as day to me that the something is not right with the clinic - don't go back. I mean, even their plan of 1000 grafts sounds like an approach that isn't going to do much to make you happy in another years time. Anyway, you don't have many grafts left now. I really would urge you to go to Europe and see a better doctor. Really strange I did a FUE with them 2.5 months back, so far so good from my side. I will update my thread of course at the 6 months mark etc Link to comment Share on other sites More sharing options...
Senior Member Curious25 Posted November 28, 2021 Senior Member Share Posted November 28, 2021 2 hours ago, londonhairlossvictim said: Really strange I did a FUE with them 2.5 months back, so far so good from my side. I will update my thread of course at the 6 months mark etc What can you determine as being so far so good at 2.5 months other than the recovery of your donor ? 1 Link to comment Share on other sites More sharing options...
Senior Member londonhairlossvictim Posted November 28, 2021 Senior Member Share Posted November 28, 2021 10 minutes ago, Curious25 said: What can you determine as being so far so good at 2.5 months other than the recovery of your donor ? Ok I'll leave a review after 6 months ok? Link to comment Share on other sites More sharing options...
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