Hairline repair needed and donor stocking

[Doflamingo]

Dear community, 

first of all I want to thank you guys for your sympathies and help, you give to hopeless and depressed people. 
 

I had a hair transplant 5 years ago, in the cheapest clinic in turkey. 
Back then, I just had finished the first year of my study and I was a poor student, who loved to have a low hairline. So I grabbed all my money, borrowed some money and went for the cheapest clinic in turkey. 
Now, 5 years later I just finished my study and hopefully I can start working next month. The first thing I’m gonna do with my money, is going to have a second hair transplant and correct what I did wrong, when I was a dumb student. 

My hairline is quit low, as I like it but it looks very unnatural due to bad angles and 3-4 hair grafts which were used. 
The hair on the top of my head had some recession over the year but it’s not that bad, considering I never had so much hair over there. 
My testosterone levels are high because I train very extremely, twice daily on some days of the week also. That’s why I guess that my hairloss is stabilized somehow. 
I used propecia for 1 year, 3 years ago. 
I had some regrowth. I didn’t had many side effects but it didn’t work good with my training regimen, so I stopped. 
 

This time I did my math. I almost checked every picture and video available on the internet. Every forum, every website, every single comment! 

I did not only looked at the before and after pictures itself, but also at the lightening and Position of the patients because this two factors play a major. I think most of you know that, too. 

I don’t want to make smp and I also dont want to deplete my donor anymore. Maybe when I’m old but not now. 

The strategy I have in mind is, to restock my donor area with bht. I have a good amount of beard under my chin and a lot of chest and abdomen hair. 
I also want to correct the hairline. For this I need to use my nape hair, which I have plenty of, too. 
Why nape hair? 
The only surgeon I contacted one year ago was dr Konior. What a nice human being!! He helped me with a lot of information but suggested me to search for a surgeon in Europe, because I live in Germany and Chicago would be a big challenge. I agreed. Still he gave me the Info, that my nape hair can help to create a more natural hairline. I saw that dr umar uses body hair and nape hair to create a more natural hairline, which indeed looks natural. There ain’t a lot of nape transplant pictures available, but for me it makes sense! Even though, those hair my fall out one day. 

Right now, the surgeon who I prefer, is dr Mwamba. I saw in a post, that he used bht and nape hair to repair a depleted donor area. Plus, I saw no signs of scars in the nape nor the beard under the chin. 

A lot of you mention dr feriduni, dr lupanzula and dr bisanga for repair work. Unfortunately, I didn’t see anyone of them using bht and nape hair to repair the donor and create a more natural hairline. Correct me please if I overlooked something. 
 

Another doctor, who I take into consideration, is dr Zarev. One of his results, is done with chest hairs and it looks amazing. 
 

I will attach you my pictures, which I also sent to dr konior one year ago, and would like to here your opinion. 
Please take in mind, that you can’t see the scars in the back of my head because I always take a haircut to hide them, specially cause I have wavy hair, which helps as well. 
My temples are naturally full, which means I won’t need any hair implanted there. I think you will see which hairs is implanted and which are not. 
If you like you can check my other post, which I made 5 years ago after the surgery, when I was afraid of the shock loss, so you can see where all started. 

I still don’t know, if the triple quadruple hair grafts in my hairline have to be extracted and reimplanted somewhere else or new grafts should be implanted some mm below the hairline to hide it. 
 

Would be very nice to here your opinion. 
 

 

Edited March 15, 2021 by Doflamingo

[Doflamingo]

BTW, I took also dr Freitas into consideration, but I don’t know If he works with bht transplants. I saw in a post that he used about 200 beard hair for one patient but that’s all I found  

[Melvin- Admin]

Dr. De Freitas does do BHT, but in small cases. Where do you live?

[Doflamingo]

Hello Melvin, 

i live in Germany. Dr Freitas was just an option because I liked his hairlines. 
But to be honest, Freitas and couto have patients who are willing to take propecia and Minoxidil post treatment, which I would not like to use. Plus most of their results show the result of a hair transplant plus minox plus propecia, so u almost never know what really happened after the implantation. 

[Melvin- Admin]

Why don’t you want to take medication? Hair transplants will not stop your hair loss. 

[Doflamingo]

Because:

1. my hair loss got quit stable.

2. I don’t want to mess up my hormones. 

3. I took propecia over a year and i don’t want to use it anymore nor I want to talk it bad. 

[Doron Harati]

The problem isn't your donor, beard hair isn't suitable for frontal area, only middle scalp and crown, but beard hair will be used as a filler and not main donor, it MUST be mixed with scalp donor.

The problem here is that the hairline is too low, you can't implant grafts in the hairline, you need a PUNCH OUT specialist, it will cost you extra and it leave scars over the punch out area.

I also consult and coordinate for Dr. Mawamba in Belgium that may Punch Out the old grafts, it won't be cheap.

[Doflamingo]

And what if I go a bit lower with the hairline so that those pluggy hair will be behind the new hairline? 
Yes your are right with the fact that beard hair should be used for the midscalp. On the other hand my beard hair texture is the same as my hair texture. Both are wavy. 
On the other hand it would be no problem for me to use my scalp donor for the hairline but then I would still want my donor scars to be treated with bht like @mustang did. 

[Melvin- Admin]

I would reconsider medication, as hair loss is progressive. Your hairline looks unnatural. I think removing the hairs and then refining the work is what should be done. Never ever use BHT in the hairline. 

If you’re in Germany definitely talk to Bisanga, there’s also Reddy and Arshad in the UK. Consult with as many as possible.

 

[Doflamingo]

Yes Melvin you are right. I should ask as many as I can. 
I like dr bisangas work as well. 
The only thing is, that I want a doctor who can also manage to repair my donor scars with bht like @mustangdid. I really love the work done for him. 
 

[Melvin- Admin]

22 hours ago, Doflamingo said:

Yes Melvin you are right. I should ask as many as I can. 
I like dr bisangas work as well. 
The only thing is, that I want a doctor who can also manage to repair my donor scars with bht like @mustangdid. I really love the work done for him. 
 

He had awesome work, definitely consult with him, but don’t put all your eggs in one basket. Besides Bisanga is probably Europe’s top surgeon. Feriduni is great as well. 

[Doflamingo]

Im confused @Melvin-Moderator

on the one hand I get very depressed when a barber mess up my fading at the back of my head and the scars get visible.

on the other hand it’s almost not visible with a correct haircut. 
 

for now I would much rather have a better natural hairline and more density in my mid scalp. But I don’t want to use any donor from the back of my head. I would prefer using beard hair or maybe chest hair (second option) and some of the triple grafts on the hairline. But I want then at least to have the nape hair replacing the hairline and those hairs extracted from there. U get what I mean? And till now I haven’t seen any doctor using nape hair but Mwamba in @mustangcase 

Edited March 16, 2021 by Doflamingo

[Melvin- Admin]

1 minute ago, Doflamingo said:

Im confused @Melvin-Moderator

on the one hand I get very depressed when a barber mess up my fading at the back of my head and the scars get visible.

on the other hand it’s almost not visible with a correct haircut. 
 

for now I would much rather have a better natural hairline and more density in my mid scalp. But I don’t want to use any donor from the back of my head. I would prefer using beard hair or maybe chest hair (second option) and some of the triple grafts on the hairline. But I want then at least to have the nape hair replacing the hairline and those hairs extracted from there. U get what I mean? And till now I haven’t seen any doctor using nape hair but Mwamba in @mustangcase 

Forget about the donor and focus on the hairline. You still have grafts that can be used. It’s not like your donor is totally depleted. You don’t need many, mostly it just needs to be refined. But no one is looking at your donor and thinking it looks weird. The hairline though, that’s cause for concern. Focus there first.

[BLE123]

I don't understand what the lines you've drawn are meant to be.

[Doflamingo]

@Melvin-Moderator

mit just appears like that on the pictures cause my Is a bit longer over there plus wavy. If I don’t use a low fade style the scars are visible plus empty areas over there. 
Dr konior told me to use nape hair to soften the hairline that’s why I have this thing in mind and I believe in this strategy. Plus I can’t remove all the grafts in the hairline because It will lead to scaring! I just think that I should remove like 30% of those mupltiple grafts and replace them by softer hair or what do you think about this idea? 
 

@BLE123 I drew those lines one year ago because at that time I thought I just put the hairline some mm lower and just use finer hair to cover the multiple grafts 

[Melvin- Admin]

1 hour ago, Doflamingo said:

@Melvin-Moderator

mit just appears like that on the pictures cause my Is a bit longer over there plus wavy. If I don’t use a low fade style the scars are visible plus empty areas over there. 
Dr konior told me to use nape hair to soften the hairline that’s why I have this thing in mind and I believe in this strategy. Plus I can’t remove all the grafts in the hairline because It will lead to scaring! I just think that I should remove like 30% of those mupltiple grafts and replace them by softer hair or what do you think about this idea? 
 

@BLE123 I drew those lines one year ago because at that time I thought I just put the hairline some mm lower and just use finer hair to cover the multiple grafts 

Grow your donor a bit longer. Trust me, the hairline is the most important. Nape hair could work, but will it be permanent? I don’t know. 

[Doflamingo]

@Melvin-Moderatoryes I think I should start with the hairline. I have a lot of nape hair. My father has also a lot till today. I think it’s not Universal to say nape hair will fall out, as you mentioned about safe zone in another thread. 
btw thank very much Melvin for your endless help towards me and everybody else in this forum. 

[mustang]

Mwamba put nape hair on my hairline and both temples

Not even a trained eye can see that my hairline is transplanted, it is that natural when you use these softer and thinner grafts on the hairline

[Melvin- Admin]

1 hour ago, Doflamingo said:

@Melvin-Moderatoryes I think I should start with the hairline. I have a lot of nape hair. My father has also a lot till today. I think it’s not Universal to say nape hair will fall out, as you mentioned about safe zone in another thread. 
btw thank very much Melvin for your endless help towards me and everybody else in this forum. 

Yes, it’s definitely dependent on the person. It may work for you, a close inspection of the nape is necessary.

[Doflamingo]

@Melvin-Moderatorthank you brother. I will check on that for sure. 
 

@mustang perfect. That’s what I wanted to hear bro. Do you think I have to remove a lot of the plugs? And what do you guess, how many grafts I’m gonna need from my nape for the hairline? 

[Sean]

I agree with many commenting. 
 

I suffer from similar issue but my hairline has less density and looks very unnatural.  Do not use body hairs.  No nape, no beard, no chest, for hairline at all whatsoever.  Im in bad situation that led me down a bad road and Im in worse shape cause of it now.  Beard may be viable but to repair scars and minor fillers here and there, but not on hairline.  
 

Refining hairline is key right now for you.  Try to get it to look natural.  This may take one or two procedures and keep the procedure small.  Reach out to docs who can do repairs, start with Mwamba, Bisanga, Cooley, Lindsey, Wesley.  See what they have to say.  I want to make it known I have no affiliation with any doc, but as a person who is going through this, I’m passionate in helping others as well.  
best of luck to you.  I know how painful this is and it is not easy.  Im suffering as well.  Hope your goals are answered
 

 

[Doflamingo]

@Sean thank you brother. Hope things turn fine for you. 
 

But why are u rejecting body hair? I can understand that about leg hair. Because most 40, 50 year old men lose their leg hair. But nape hair is still another thing. Those hair in some men will last forever. 
 

[Doflamingo]

@Sean

i add a picture of my nape so u can see how much they are. I shave them every week away cause they even go and connect to my beard 😂

 

[Sean]

48 minutes ago, Doflamingo said:

@Sean thank you brother. Hope things turn fine for you. 
 

But why are u rejecting body hair? I can understand that about leg hair. Because most 40, 50 year old men lose their leg hair. But nape hair is still another thing. Those hair in some men will last forever. 
 

Thank you bro, i hope so too.

 

yes, most of us have many nape hair.  I agree and I was in a similar assumption prior to this damage.  Extraction for that hair is more fragile.  If you notice nape hair grow but not as long as scalp hairs overall.  It kind of has its own cycle.  Aside from that, they are way too thin, even if they did grow after successful implantation, they look soo sparse that your natural dense hair behind them will make the hairline transition effect look unnatural.  Nape hair is not permanent, it becomes diffuse with age.  
 

id only recommend beard hair for filler hair. Not rejecting body hair but it is very poorly yielding and looks too unnatural.  If You get a 20,000 graft procedure and maybe 3,000 will grow.  Aside from that, finasteride may mess with growth cycles of body hair on your scalp.  Your scalp hair and body hair will grow and shed maybe at different times.  If you are local, after corona settles, i can show you in person.  

[Doflamingo]

@Sean

where do u live bro? 
i don’t take finasteride because I will not support it. Even if it is effective. As long as we use it, they will continue producing it and don’t look for better alternatives. But that’s another topic. 

I just looked at your pictures of your surgery. You only made one surgery right? With dr rahal? Did he even use nape hair for you? 
i think it has to be a mix of nape hair and scalp hair. I don’t think That only nape hair alone will be effective, that’s why I don’t want to remove all the grafts from my hairline. It has to be a mix of both. Scalp hair plus nape hair. 

I mean just let’s take some facts! 

Fact nr 1. dr konior uses nape hair and he creates in my opinion the most beautiful hairlines. 
 

Fact nr 2. @mustang used nape hair for his hairline and they survived plus he used some of those also for scars, where it is even more challenging than in other parts. His growth was above 95%. 
 

Fact nr 3. Dr Zarev used chest hair, for a patient with pseudopelade of brocq and created  amazing results. Around 65% survived cause some of them were in telogen phase. But the results he achieved looks better than what most surgeons achieved with scalp hair. 
Besides that, his patient aren’t even prescribed finasteride or minox! This is a very important fact here because when i watch the Spain doctors videos, almost all of them get prescribed finasteride pre and post surgery. This will change the outcome of the surgery. 
 

@Sean I don’t know what happened to you. Would be nice if you could tell me. But u don’t have to give up hope because with time new methods came which maybe give guys like us the chance to use nape or bht with good survival Rates