Regular Member 1needhair Posted June 11, 2021 Regular Member Share Posted June 11, 2021 (edited) Hi guys, I’m 31 and I’m a Norwood 5 going on 6, I’ve started finasteride and minoxidil today to see if it makes a difference as I’ll be looking to do a hair transplant next summer. I’ve messaged various clinics from what I’ve researched to see what it would cost and how many grafts I’d need. All of these clinics say they can only cover the front and middle area as my crown is advanced and my donor area isn’t enough to cover the crown In no particular order Cosmedica 3000-3500 grafts Gold package £1480 DHI Package £2080 Pekiner Recommends 6 months medication then assess before any surgery Need 3/4000 to 5000 grafts for front at 2.5euro per graft HLC 2.5euro per graft 4000-4500 grafts 2nd surgery for crown area 6-12months later Transmed - Melike Kulahçi 3000-3200 grafts 2800 euro İlhan Serdaroğlu 3500-3800 grafts 3500 euro Dr. Cinik 3500-4000 grafts 2200 euro Ekrem Civas 3200 grafts 3200 euro Vertex/Dr.Barghouthi 3500-4000 grafts $3 first 1000 grafts-$2.5 for the rest Tayfun Oguzoglu 2800 grafts max from donor 1200 grafts beard and chest P2 package 2800euro Eugenix 5000 grafts 3500 scalp and 1500 beard HDC 3500 grafts 2.5euro Serkan Aygin 4200 grafts- beard + back of head £1990 AEK 2600 euro grafts? Waiting on the following to get back to me Hair of Istanbul Asmed - Koray Erdogan Ozlem Bicer Dr.Mwamba Dr.Bis anga Dr.Lorenzo AEK Vera clinic Out of this list which would you recommend or is there anyone else I should message? Thanks Edited June 14, 2021 by 1needhair Added HDC AEK VERTEX eugenix Link to comment Share on other sites More sharing options...
Senior Member Britanium Posted June 11, 2021 Senior Member Share Posted June 11, 2021 Please rule out all of the “hair mills” 4 Link to comment Share on other sites More sharing options...
Senior Member CosmoKramer Posted June 11, 2021 Senior Member Share Posted June 11, 2021 Sharing some photos of the state of your hair/donor is needed to get opinions. Link to comment Share on other sites More sharing options...
Regular Member 1needhair Posted June 11, 2021 Author Regular Member Share Posted June 11, 2021 1 minute ago, JohnAC71 said: Please rule out all of the “hair mills” It’s hard to tell which is a hair mill as not many mention it in reviews Link to comment Share on other sites More sharing options...
Regular Member 1needhair Posted June 11, 2021 Author Regular Member Share Posted June 11, 2021 4 minutes ago, CosmoKramer said: Sharing some photos of the state of your hair/donor is needed to get opinions. Photos added 👍 Link to comment Share on other sites More sharing options...
Senior Member Britanium Posted June 11, 2021 Senior Member Share Posted June 11, 2021 3 minutes ago, 1needhair said: It’s hard to tell which is a hair mill as not many mention it in reviews HLC, Pekiner, Bisanga, Lorenzo, Mwamba and Bicer are the ones to choose from. The others are low cost hair mills. 2 1 Link to comment Share on other sites More sharing options...
Senior Member Britanium Posted June 11, 2021 Senior Member Share Posted June 11, 2021 (edited) Have you also considered HDC ? @Doron Haratiis the rep. Vertex @DrTBarghouthi is another excellent choice for higher Norwoods. Normally I would say Eugenix but travel is going to be a issue for quite some time. Edited June 11, 2021 by JohnAC71 3 Link to comment Share on other sites More sharing options...
Regular Member 1needhair Posted June 11, 2021 Author Regular Member Share Posted June 11, 2021 4 minutes ago, JohnAC71 said: HLC, Pekiner, Bisanga, Lorenzo, Mwamba and Bicer are the ones to choose from. The others are low cost hair mills. Thank you! 3 minutes ago, JohnAC71 said: Have you also considered HDC ? @Doron Haratiis the rep. Vertex @DrTBarghouthi is another excellent choice for higher Norwoods. Normally I would say Eugenix but travel is going to be a issue for quite some time. I’ve not heard or come across either of them, I will look into both of them now. Thank you 1 Link to comment Share on other sites More sharing options...
Senior Member Britanium Posted June 11, 2021 Senior Member Share Posted June 11, 2021 Please check out the forums recommended list: https://www.hairtransplantnetwork.com/Consult-a-Physician/hair-transplant-surgeons.asp?sr=HRN-MOB they are both recommended! 2 Link to comment Share on other sites More sharing options...
Senior Member Britanium Posted June 11, 2021 Senior Member Share Posted June 11, 2021 Your Norwood pattern shows it would become a 7. Your crown has already dipped. However with meds you could retain the scalp hair you still have. How Is you beard ? Could be another valuable source 👌 1 Link to comment Share on other sites More sharing options...
Administrators Melvin- Admin Posted June 11, 2021 Administrators Share Posted June 11, 2021 You have completely different clinics. Bicer, Mwamba, Bisanga all do the work themselves, most of the other clinics mentioned have technicians do everything. 3 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...
Regular Member 1needhair Posted June 11, 2021 Author Regular Member Share Posted June 11, 2021 1 hour ago, JohnAC71 said: Your Norwood pattern shows it would become a 7. Your crown has already dipped. However with meds you could retain the scalp hair you still have. How Is you beard ? Could be another valuable source 👌 My beard isn’t great to be honest, it is patchy in places. 1 hour ago, Melvin-Moderator said: You have completely different clinics. Bicer, Mwamba, Bisanga all do the work themselves, most of the other clinics mentioned have technicians do everything. Thank you. I’ve also messaged Vertex/Dr.Barghouthi and HDC Link to comment Share on other sites More sharing options...
Senior Member sl Posted June 11, 2021 Senior Member Share Posted June 11, 2021 (edited) Be good to see the complete donor from side profiles also as we do not harvest just from the occipital, although that said many do to be fair. Your rear occipital area is not the strongest and is dipping and for 31 this is aggressive loss. Good you are on medication and really good to see firstly how well you tolerate them and secondly if you stabilise loss or get growth. Your lateral humps can dip from the top shot and this usually is in synergy with crown loss also going lower, so need to keep all this in mind and see how meds go because you do not want to become unattached in the event of losing more hair post surgery. As said we are a very different setup to some of the clinics mentioned in approach and who does what, so it depends on really what factors are important for you. In any event I would go with a VERY conservative approach to keep in mind future loss potential and donor limitations and that you have have if as they said 3500/4000 at approx, so will you be happy with this as an outcome. Get the clinics to draw the designs as to what you can expect from the surgery so that you can have an idea of what you will get and try to see similar cases and meet patients also for the clinic you choose to go to. If you can also travel to meet the doctor and clinic then you would benefit from a real empirical donor assessment on density, miniaturisation, FU groupings etc so there is then less guess work on long term what can be achieved. In any event, all the best in your research and hope you get what you are hoping to achieve and well done on researching and asking forums also. Edited June 11, 2021 by sl 2 I represent Dr. Bisanga. Dr. Christian Bisanga is recommended on the Hair Transplant Network Link to comment Share on other sites More sharing options...
Regular Member 1needhair Posted June 12, 2021 Author Regular Member Share Posted June 12, 2021 13 hours ago, sl said: Be good to see the complete donor from side profiles also as we do not harvest just from the occipital, although that said many do to be fair. Your rear occipital area is not the strongest and is dipping and for 31 this is aggressive loss. Good you are on medication and really good to see firstly how well you tolerate them and secondly if you stabilise loss or get growth. Your lateral humps can dip from the top shot and this usually is in synergy with crown loss also going lower, so need to keep all this in mind and see how meds go because you do not want to become unattached in the event of losing more hair post surgery. As said we are a very different setup to some of the clinics mentioned in approach and who does what, so it depends on really what factors are important for you. In any event I would go with a VERY conservative approach to keep in mind future loss potential and donor limitations and that you have have if as they said 3500/4000 at approx, so will you be happy with this as an outcome. Get the clinics to draw the designs as to what you can expect from the surgery so that you can have an idea of what you will get and try to see similar cases and meet patients also for the clinic you choose to go to. If you can also travel to meet the doctor and clinic then you would benefit from a real empirical donor assessment on density, miniaturisation, FU groupings etc so there is then less guess work on long term what can be achieved. In any event, all the best in your research and hope you get what you are hoping to achieve and well done on researching and asking forums also. Thanks! My dad and grandad both are a Norwood 7 so I will eventually end up the same. My standard hair cut is a 0 back and sides and I leave the top as it is because I can’t deal with a bald/shaven look, I’ve tried it twice and it isn’t for me. If my front and middle area is covered decently then I’d be happy I think. 1 Link to comment Share on other sites More sharing options...
Valued Contributor Gatsby Posted June 12, 2021 Valued Contributor Share Posted June 12, 2021 To be honest I wouldn't consider a hair transplant if your goals are unrealistic. You need to trial a 5HT inhibitor for at least 6 months (but preferably longer as it can take up to two years to see the full benefits). I would wait and look at Eugenix and augment your donor supply with beard grafts if they deem your beard suitable to provide the necessary amount. Your hair all over will continue to minitaurise over the coming years so it's important that you can tolerate and stay on a drug like finasteride. All the best. 1 GATSBY 'UNPLUGGED!' 15,671 (3 surgeries) Grafts FUE+BHT Dr. Sethi Eugenix Link to comment Share on other sites More sharing options...
Regular Member 1needhair Posted June 12, 2021 Author Regular Member Share Posted June 12, 2021 25 minutes ago, Gatsby said: To be honest I wouldn't consider a hair transplant if your goals are unrealistic. You need to trial a 5HT inhibitor for at least 6 months (but preferably longer as it can take up to two years to see the full benefits). I would wait and look at Eugenix and augment your donor supply with beard grafts if they deem your beard suitable to provide the necessary amount. Your hair all over will continue to minitaurise over the coming years so it's important that you can tolerate and stay on a drug like finasteride. All the best. I don’t plan on booking anything till next year as I want to see if the medication helps. I’ll message eugenix to see what they make of it 1 Link to comment Share on other sites More sharing options...
Senior Member Britanium Posted June 12, 2021 Senior Member Share Posted June 12, 2021 (edited) 1 hour ago, 1needhair said: I don’t plan on booking anything till next year as I want to see if the medication helps. I’ll message eugenix to see what they make of it Eugenix would be a excellent option. Especially if your Beard can be used for a additional source of grafts. Even another 1000 grafts would be very helpful. @Abhinay Singhis the Eugenix rep here on the forum, or you can use: https://www.hairtransplantnetwork.com/physician/India/Arika-Bansal/688 https://www.hairtransplantnetwork.com/physician/India/Pradeep-Sethi/687 Edited June 12, 2021 by JohnAC71 3 Link to comment Share on other sites More sharing options...
Senior Member ITA Posted June 12, 2021 Senior Member Share Posted June 12, 2021 Yours is a rather difficult starting situation, I agree with @JohnAC71, run away from Turkish hair mills, the ones that offer you “all inclusive” and who say that you will have a great result and that they will issue you a certificate of guarantee for the next 10 years, all bullshit, entrusted to a specialized clinic in Norwood high, do not get attracted by the low costs, you may regret it for the rest of your life. 2 Link to comment Share on other sites More sharing options...
Regular Member 1needhair Posted June 12, 2021 Author Regular Member Share Posted June 12, 2021 33 minutes ago, Egy said: Yours is a rather difficult starting situation, I agree with @JohnAC71, run away from Turkish hair mills, the ones that offer you “all inclusive” and who say that you will have a great result and that they will issue you a certificate of guarantee for the next 10 years, all bullshit, entrusted to a specialized clinic in Norwood high, do not get attracted by the low costs, you may regret it for the rest of your life. From the conversations I’ve had Cosmedica/Dr Acar, Pekiner and Bicer are the only ones I think I’d consider in Turkey. I need to check if any of those are hair mills though. Is Vertex, HDC and Eugenix the only ones to look at for higher Norwoods? Link to comment Share on other sites More sharing options...
Senior Member Britanium Posted June 12, 2021 Senior Member Share Posted June 12, 2021 (edited) Out of those names Cosmedica is a hair mill. Pekiner is not really a go too person for the higher Norwoods. So that leaves Dr Bicer being the only really viable option. Eugenix is pretty much the best choice though. As they seem to excel in these cases. Just check out @Zoomsterresults for example. Edited June 12, 2021 by JohnAC71 3 Link to comment Share on other sites More sharing options...
Senior Member ITA Posted June 12, 2021 Senior Member Share Posted June 12, 2021 7 minutes ago, 1needhair said: I need to check if any of those are hair mills though. I'll tell you: Cosmedica is a hair mill, Acar was a business partner with Cinik, before the latter started his own business, but the modus operandi of the two is the same. 2 Link to comment Share on other sites More sharing options...
Senior Member Britanium Posted June 12, 2021 Senior Member Share Posted June 12, 2021 (edited) Dr Bisanga/BHR is another excellent choice, as the rep demonstrates on his very good plan above. Edited June 12, 2021 by JohnAC71 2 Link to comment Share on other sites More sharing options...
Regular Member 1needhair Posted June 13, 2021 Author Regular Member Share Posted June 13, 2021 Eugenix have evaluated me at Norwood Hamilton grade 4. Need 5000 grafts Link to comment Share on other sites More sharing options...
Senior Member SD1984 Posted June 13, 2021 Senior Member Share Posted June 13, 2021 (edited) On 6/11/2021 at 12:05 PM, Melvin-Moderator said: You have completely different clinics. Bicer, Mwamba, Bisanga all do the work themselves, most of the other clinics mentioned have technicians do everything. According to all I've read, it's mostly docs who work on your head at HLC with some technician assistance. @1needhair When did HLC quote you 2.5 euro per graft? According to the costs section on their site they are now at 2.7 Edited June 13, 2021 by SD1984 Link to comment Share on other sites More sharing options...
Senior Member ML488 Posted June 13, 2021 Senior Member Share Posted June 13, 2021 (edited) 17 hours ago, Gatsby said: You need to trial a 5HT inhibitor for at least 6 months (but preferably longer as it can take up to two years to see the full benefits). Am I the only one who thinks Finasteride isn't completely necessary for this guy? He has virtually no hair left on his head to begin with. I get how some docs (i.e. Pekiner) are just super conservative and want to try all they can to save whatever they can, but to me, going on Finasteride isn't exactly a small thing imo. It's medication basically forever. If this were 10 years ago and the guy was still NW3 or so, entirely different situation. P.S. to the OP, I can almost guarantee you that anything more than 5000 grafts in that donor will be too much. Be careful and cautious with how many grafts you give up. Edited June 13, 2021 by ML488 Link to comment Share on other sites More sharing options...
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