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Looking for a conservative FUE to hairline...


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Hi,

My first post to the forum as I try to gather more information and advice facing my future transplant procedure.

I have always been dissatisfied with the shape of my hairline (norwood 2ish) which change late teens, at 30 now with the advances in FUE and affordabilty in Turkey I am ready to embark on minor FUE to sort out my hairline.

I have been on finnasteride for the past 2 years due to the fact I became concerned there may have been some very slow and slight thinning of the vertex, and its definitely stabilised if there was.

I reached out to I believe two of the big names in turkey Dr Bicer and Dr Erdogan but was quite suprised with the number of grafts they want to do.

My objectives from a transplant would be to fill my temporal corners and align my hairline, not lowering of the central point, to creative a easier aesthetic for styling, and therefore not to transplant into the vertex which i believe is fine.

https://forum.hairsite.com/t/rahal-fue-norwood-2/28647

The above is a result by Dr Reddy, which is similar to me I feel and what I want to achieve, dense packing of the small temporal areas to align the natural hairline.  However I am surprised that both Drs instead want to do a low and juvenile hairline on me with a high number of grafts. I even wrote in my original emails to them what I exactly hoped for conservatively.

 

The photo with the green line is Dr Erdogans response  "your surgery should consist of 2500 grafts - from the image I can see that this would go into both the vertex and extend well beyond the original hairline!!!

Dr Bicers outline is more akin to what I want, maybe a little overkill but but surprisingly gave me 

 "FUE with approx. 3200-3400 
grafts for front area. (red line) And one session satisfies you. But for higher
density, you have a chance to have another session since your donor area is very
effective. (green line)
-You have risk to lose your current hair as I draw (yellow line). Because you are
30 and generally hair loss continues until 45’s. This hair loss is not related with
the operation."

This seems like an awful lot of FUE for this small area!?

Since I was surprised by the more intensive fue than I was expecting for my hairline goal, I thought I would post here to see if anyone could advise me what my next move would be.  I wanted to adopt a conservative approach and fill in my temple areas, not give myself a juvenile hairline that I never even had and may not even suit me and be obvious to what i had had done. Budget is also an option and I was hoping I could get an expert surgeon for a small area resulting in a large impact, not to have as many grafts done as a full  top head restoration job

Any feedback would be appreciated :)  I've attached pictures of my hairline wet and dry and also the drs evaluation images

 

 

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18546f8c-2ca0-401e-abb3-258831aa680f.jpg

IMG_20201212_124507.jpg

IMG_20201212_124538.jpg

erdogan.jpg

bicer.jpg

top.jpg

IMG_20201212_125515.jpg

Edited by jami
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I dont personally advise you to lower your midline. Closing of the temples should be done using 1500-1800 grafts I would say. 

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17 minutes ago, Captain Haddock said:

I recently underwent an FUE for more or less similar areas, and my job got done with 1400 grafts. Plus I got my temples treated. I'm sure a good surgeon could work wonders on you for around ~1500ish slits. 

Cool!  Who did you go to?  I'd like to find a DR that listens to my request from the outset... 

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4 minutes ago, jami said:

Cool!  Who did you go to?  I'd like to find a DR that listens to my request from the outset... 

I got it done in India. I'm not sure if that's viable for you though. Still, you can check out my thread here:

 

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1 minute ago, Captain Haddock said:

I got it done in India. I'm not sure if that's viable for you though. Still, you can check out my thread here:

 

Ah wow...yeah I couldn't justify going that far from London (especially in a pandemic).

Turkey is where I'm set on but these two opinions on what I need from what I believed to be the more respected docs there have definitely put me off..

In London it doesn't seem like the hair doctors are much respected globally, I was impressed with Dr Rahul Reddy's (London-based) especially the one I linked..however he didnt respond when I wrote him..

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3 minutes ago, jami said:

Ah wow...yeah I couldn't justify going that far from London (especially in a pandemic).

Turkey is where I'm set on but these two opinions on what I need from what I believed to be the more respected docs there have definitely put me off..

In London it doesn't seem like the hair doctors are much respected globally, I was impressed with Dr Rahul Reddy's (London-based) especially the one I linked..however he didnt respond when I wrote him..

Yeah, unless yours is a very specialised case that needs travelling to a different continent (which obviously isn't the case) then it would make sense to get it done in UK. 

Also, its normal for some clinics to not respond on time to emails, its best to simply setup a video consultation. 

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5 minutes ago, JohnAC71 said:

Have you contacted Dr Arshad who is also uk based? Very much recommended 

Have seen the name but didn't look into UK as much as Turkey - seems he can do hairlines without shaving the head, which would be ideal - definitely going to reach out!

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2 minutes ago, jami said:

Have seen the name but didn't look into UK as much as Turkey - seems he can do hairlines without shaving the head, which would be ideal - definitely going to reach out!

He has a London based clinic too. There are more than a few results on this forum too. Dr Edward Ball is another uk based Dr which you could consider. Apart from Dr Reddy that you have already reached out too that’s the only ones I would consider here. 

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How old are you? Are you on medication?


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

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Wowwwww 3000+ is waaaayyyyy too much grafts for your front!

I would suggest 1500-1800 grafts, maybe 2000.

I am the representative of HDC clinic in Cyprus (near Greece), with Dr. Maras and Dr. Christina, we work with microscopes,  can give you free consultant in private.

We also include 5 washing days to clean all scabs 100% with no extra charge.

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6 minutes ago, Melvin-Moderator said:

How old are you? Are you on medication?

I'm almost 31 and the temporal loss you are seeing occurred around 16/17, although I never had a great juvenile hairline with the left corner temple always having a more receded look.  I went on Propecia about 18 as I convinced myself I was going to be bald within a few years if I didn't, although after about a year and a half I stopped completely due the expensive of the med at the time.  throughout my twenties I've sporadically used various topicals including high strength minoxidils.  I think I've grown the vellus hairs along my hairline as much as they will.  I've now been on finnasteride (generic) past 2 years, due to pushing 30 and not wanting to take any chances/avoid more loss.  I believe small skillful transplant which I hope would be affordable due to the small areas involved would make a big difference to me, but it doesn't seem easy to find a Dr who gets it..(less profit maybe?)

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3 minutes ago, jami said:

I'm almost 31 and the temporal loss you are seeing occurred around 16/17, although I never had a great juvenile hairline with the left corner temple always having a more receded look.  I went on Propecia about 18 as I convinced myself I was going to be bald within a few years if I didn't, although after about a year and a half I stopped completely due the expensive of the med at the time.  throughout my twenties I've sporadically used various topicals including high strength minoxidils.  I think I've grown the vellus hairs along my hairline as much as they will.  I've now been on finnasteride (generic) past 2 years, due to pushing 30 and not wanting to take any chances/avoid more loss.  I believe small skillful transplant which I hope would be affordable due to the small areas involved would make a big difference to me, but it doesn't seem easy to find a Dr who gets it..(less profit maybe?)

You’re still relatively young, you have a lot of hair left to lose. I certainly wouldn’t get a lower hairline unless you’re committed to medication. 

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I’m a paid admin for Hair Transplant Network. I do not receive any compensation from any clinic. My comments are not medical advice.

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3 minutes ago, Melvin-Moderator said:

You’re still relatively young, you have a lot of hair left to lose. I certainly wouldn’t get a lower hairline unless you’re committed to medication. 

Generic Finasteride is super-cheap now and i don't get any sides, i only rub in the minoxidil into those corners in an attempt to get something more to grow which i guess is another good reason for a small procedure into them. The real risk of future loss is also why i would never want to use 3000 of my donor hairs on this though..

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20 minutes ago, jami said:

Generic Finasteride is super-cheap now and i don't get any sides, i only rub in the minoxidil into those corners in an attempt to get something more to grow which i guess is another good reason for a small procedure into them. The real risk of future loss is also why i would never want to use 3000 of my donor hairs on this though..

As long as you’re committed to meds, you should be okay. 

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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

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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.

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jami the number of grafts you have been quoted are way over kill in my humble opinion! Using up to 3,400 of your finite grafts is not only wasteful but a red flag in my book. Also you want to grow into a hairline and not out of one. Again this is just my opinion, but considering a hair transplant will affect every aspect of your life, I think it is far more risky to limit yourself to one location for the procedure. For the inconvenience of a day or two in flights compared to the rest of your life, I would strongly encourage you to find the surgeon that is best suited to your needs to optimize the final outcome. Also it would be better to save up for a hair transplant than to pay for only what you can afford. In the long run this will work out far cheaper as you need to have a life long plan and you need a surgeon who has this view alongside of you as well. Wishing you all the best!

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Hello Jason, 

Great to see you here. 

As a general response, graft numbers may change according to the goals, hair characteristics, and positioning of the hairline (frontal hairline, temporal positioning, and temporal point reconstruction).  

Also, no two people are the same. Hair transplants should be viewed individually, the grafts may be higher for one patient and lower for another, it depends on various factors individual to the patient.  The patients native density must be considered, we  don’t want to see the density difference between the transplanted hair and the native area. So we need to plan to match the density as much as possible.  

Again, this is just a general response, as graft estimates vary from person to person. We do not take a one-size-fits-all approach to surgery. For detailed information or responses, we’d be more than happy to review cases individually through consultations.

At the Dr. Bicer Clinic, we respect  other physicians planning and philosophy, and we wish that you will be happy with the result if you decide to walk this path with any doctor. 

 

Warm regards,

Özen

Assistant of Dr. Bicer

00905304141313

 

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26 minutes ago, Dr.Bicer-Assistant Ozen said:

Hello Jason, 

Great to see you here. 

As a general response, graft numbers may change according to the goals, hair characteristics, and positioning of the hairline (frontal hairline, temporal positioning, and temporal point reconstruction).  

Also, no two people are the same. Hair transplants should be viewed individually, the grafts may be higher for one patient and lower for another, it depends on various factors individual to the patient.  The patients native density must be considered, we  don’t want to see the density difference between the transplanted hair and the native area. So we need to plan to match the density as much as possible.  

Again, this is just a general response, as graft estimates vary from person to person. We do not take a one-size-fits-all approach to surgery. For detailed information or responses, we’d be more than happy to review cases individually through consultations.

At the Dr. Bicer Clinic, we respect  other physicians planning and philosophy, and we wish that you will be happy with the result if you decide to walk this path with any doctor. 

 

Warm regards,

Özen

Assistant of Dr. Bicer

00905304141313

 

Well said. 


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.

 

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Yeah, I have to agree with everyone else... you shouldn't lower your hairline.

That said, you do what you want to do. Be aware that today's decisions may limit decisions when you're in your 40s. Your donor looks amazing, but that stuff changes. My real recommendation would be to lower your hairline only HALF of what you want. Maybe 1cm or so. That leaves your donor with more for the future and will give you a change that you will appreciate.

Be more than just smart... be smart for the future. 

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20 hours ago, MachoVato said:

Yeah, I have to agree with everyone else... you shouldn't lower your hairline.

That said, you do what you want to do. Be aware that today's decisions may limit decisions when you're in your 40s. Your donor looks amazing, but that stuff changes. My real recommendation would be to lower your hairline only HALF of what you want. Maybe 1cm or so. That leaves your donor with more for the future and will give you a change that you will appreciate.

Be more than just smart... be smart for the future. 

Yeah there's been some misunderstanding from some, including the Drs of what i want (i don't want to be a norwood 0), so I've done some drawings...it literally is just the temporal corners.  I am aware i have naturally weak temporal points but I don't think I necessarily need to have this addressed and i know this a super hard area to construct naturally.  Just have the corners levelled up somewhat would be an absolute game-changer.  My hair is very difficult to manage half the hair-style has always been about concealing the recessions (styled last pic)... the freedom this would bring would be amazing.  I reached out to dr pekiner as ive seen he's great at hairlines and maybe would be willing to do this...but no reply yet sadly..

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