abracadabra Posted December 21, 2021 Share Posted December 21, 2021 From the photo's below Dr. Erdogan from Asmed came to conclusion I did not have enough donor hair. He "regrettably" (his words) informed me that I did not meet their requirements. What he didn't know is that he was doing me a favour by helping me narrow down this list of clinics. I am taking a long term approach to take back what has been lost. My theory is start with 3500 graphs around the hairline and the following year do another 3000 graphs and repeat the process through out the crown using chest and beard hair. I'm thinking realistically 3 or 4 procedures over the next 3 to 4 years. Who knows I might have a solid hairline by 2025 but we will never know if I don't try and worst comes to worst I'm down 10's of thousands get additional SMP over any FUE extraction scars and go back to the chrome dome. I have reached out to several clinics most have been on board. I am leaning towards Thailand. Dr Pathomnavanich and Dr. Kongkiat Laorwong had no hesitation in doing the procedure. I think Asmed rejected me as they feel its likely going to fail or produce poor results and they don't want to risk a bad review or unhappy customer causing them problems. They probably make enough money and have enough straight forward clients that they don't need to bother with cases like this. Can anyone offer insight into why Asmed knocked me back but the majority of other clinics don't have an issue. Also if you know anything about Doctors in Thailand would you share your preference. Lastly if you have any warnings/criticism/advice feel free to share. I usually shave thus the shading around the hairline is SMP. Thanks in advance, A. Link to comment Share on other sites More sharing options...
Senior Member HappyMan2021 Posted December 21, 2021 Senior Member Share Posted December 21, 2021 (edited) I have a lot of respect for any HT doc who refuses to do surgery on a patient. I know its massively frustrating, but they are really looking out for you in the end. I can't speak to the specific reasons ASMED declined you. But they are declining to take what I imagine is a decent amount of money from you, so I would trust that the reason is in the best interest for you too. Edited December 21, 2021 by SadMan2021 4 Link to comment Share on other sites More sharing options...
Senior Member LaserCaps Posted December 21, 2021 Senior Member Share Posted December 21, 2021 9 minutes ago, abracadabra said: From the photo's below Dr. Erdogan from Asmed came to conclusion I did not have enough donor hair. He "regrettably" (his words) informed me that I did not meet their requirements. What he didn't know is that he was doing me a favour by helping me narrow down this list of clinics. I am taking a long term approach to take back what has been lost. My theory is start with 3500 graphs around the hairline and the following year do another 3000 graphs and repeat the process through out the crown using chest and beard hair. I'm thinking realistically 3 or 4 procedures over the next 3 to 4 years. Who knows I might have a solid hairline by 2025 but we will never know if I don't try and worst comes to worst I'm down 10's of thousands get additional SMP over any FUE extraction scars and go back to the chrome dome. I have reached out to several clinics most have been on board. I am leaning towards Thailand. Dr Pathomnavanich and Dr. Kongkiat Laorwong had no hesitation in doing the procedure. I think Asmed rejected me as they feel its likely going to fail or produce poor results and they don't want to risk a bad review or unhappy customer causing them problems. They probably make enough money and have enough straight forward clients that they don't need to bother with cases like this. Can anyone offer insight into why Asmed knocked me back but the majority of other clinics don't have an issue. Also if you know anything about Doctors in Thailand would you share your preference. Lastly if you have any warnings/criticism/advice feel free to share. I usually shave thus the shading around the hairline is SMP. Thanks in advance, A. If you were deemed to be a non candidate, why make all these plans? Oh, but wait. You are tightly shaven...Sometimes this kind of gets in the way and the doctor may think you have poor donor when in reality the opposite is the case. Other times, and it's likely to be the case, you may be experiencing some degree of thinning in donor which would result in subsequent thinning of the grafts. So, my first suggestion, let your hair grow and reassess. The second thing, take advantage of this time and get on a medical regimen, (Propecia, Rogaine, PRP, Laser). Do them religiously for 1 year and reassess. If you do improve, you may end up having more options. 4 Patient Consultant for Dr. Arocha at Arocha Hair Restoration. I am not a medical professional and my comments should not be taken as medical advice. All opinions and views shared are my own. Link to comment Share on other sites More sharing options...
Moderators Al - Moderator Posted December 21, 2021 Moderators Share Posted December 21, 2021 Adding to what LaserCaps said, it looks like some of your hair in the back may be gray. When it's very short that can make your hair look thinner than it is because your eyes see the dark hairs while the lighter colored ones blend in with the scalp. Let your hair grow a bit and if you have some gray hair then dye your hair. It may look much fuller then. 1 Al Forum Moderator (formerly BeHappy) I am a forum moderator for hairrestorationnetwork.com. I am not a Dr. and I do not work for any particular Dr. My opinions are my own and may not reflect the opinions of other moderators or the owner of this site. I am also a hair transplant patient and repair patient. You can view some of my repair journey here. Link to comment Share on other sites More sharing options...
Senior Member LaserCaps Posted December 21, 2021 Senior Member Share Posted December 21, 2021 44 minutes ago, SadMan2021 said: I have a lot of respect for any HT doc who refuses to do surgery on a patient. I know its massively frustrating, but they are really looking out for you in the end. I can't speak to the specific reasons ASMED declined you. But they are declining to take what I imagine is a decent amount of money from you, so I would trust that the reason is in the best interest for you too. I was just reading this "reply" and it occurred to me....Yes, the job of the doctor is to do what the patient wants - but also to keep him from doing things that will result in something less than natural. Second, and the point I want to make, the doctor has the prerogative of not doing the case - for whatever reason. Could be because the patient is an actual non candidate - or because he just has unrealistic expectations. This, in itself, is scary. The patient could then go visit with another group, perhaps one with no experience, and they will do what the patient asks. Perhaps going back to the doctor that turned you down would not be a bad idea and find out exactly why he made that decision. A bit of leg work but better to make sound decisions. 1 Patient Consultant for Dr. Arocha at Arocha Hair Restoration. I am not a medical professional and my comments should not be taken as medical advice. All opinions and views shared are my own. Link to comment Share on other sites More sharing options...
digi23 Posted December 21, 2021 Share Posted December 21, 2021 1 hour ago, abracadabra said: From the photo's below Dr. Erdogan from Asmed came to conclusion I did not have enough donor hair. He "regrettably" (his words) informed me that I did not meet their requirements. What he didn't know is that he was doing me a favour by helping me narrow down this list of clinics. I am taking a long term approach to take back what has been lost. My theory is start with 3500 graphs around the hairline and the following year do another 3000 graphs and repeat the process through out the crown using chest and beard hair. I'm thinking realistically 3 or 4 procedures over the next 3 to 4 years. Who knows I might have a solid hairline by 2025 but we will never know if I don't try and worst comes to worst I'm down 10's of thousands get additional SMP over any FUE extraction scars and go back to the chrome dome. I have reached out to several clinics most have been on board. I am leaning towards Thailand. Dr Pathomnavanich and Dr. Kongkiat Laorwong had no hesitation in doing the procedure. I think Asmed rejected me as they feel its likely going to fail or produce poor results and they don't want to risk a bad review or unhappy customer causing them problems. They probably make enough money and have enough straight forward clients that they don't need to bother with cases like this. Can anyone offer insight into why Asmed knocked me back but the majority of other clinics don't have an issue. Also if you know anything about Doctors in Thailand would you share your preference. Lastly if you have any warnings/criticism/advice feel free to share. I usually shave thus the shading around the hairline is SMP. Thanks in advance, A. Step 1 when sending photos for a consultation, you need to have grown out your hair for say 2-3 weeks. Basically any Dr would decline you with these photos. 2 Link to comment Share on other sites More sharing options...
Senior Member Future Hair Doc Posted December 21, 2021 Senior Member Share Posted December 21, 2021 4 hours ago, LaserCaps said: If you were deemed to be a non candidate, why make all these plans? Oh, but wait. You are tightly shaven...Sometimes this kind of gets in the way and the doctor may think you have poor donor when in reality the opposite is the case. Other times, and it's likely to be the case, you may be experiencing some degree of thinning in donor which would result in subsequent thinning of the grafts. So, my first suggestion, let your hair grow and reassess. The second thing, take advantage of this time and get on a medical regimen, (Propecia, Rogaine, PRP, Laser). Do them religiously for 1 year and reassess. If you do improve, you may end up having more options. 👏 👏 👏 👏 👏 My advice does not constitute a patient-physician relationship nor as medical advice and all medical questions/concerns should be addressed to your medical provider. Link to comment Share on other sites More sharing options...
Senior Member SD1984 Posted December 22, 2021 Senior Member Share Posted December 22, 2021 I think you are way overshooting things. 3500 grafts would be plenty for the frontal third and maybe even some midscalp alone, not just "the hairline". Then you would need one more surgery for the rest of the midscalp and crown which you could probably get away with doing 2500 if not less if you don't care about density. Link to comment Share on other sites More sharing options...
Valued Contributor Gatsby Posted December 22, 2021 Valued Contributor Share Posted December 22, 2021 I tend to see a hair transplant surgeon who says that you are not a candidate as a blessing. You could really be dodging a bullet. Otherwise have a consultation with several elite respected surgeons (Eugenix, etc) and see if you get the same reply. 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...
Senior Member deeznuts Posted December 22, 2021 Senior Member Share Posted December 22, 2021 Yeah it's gotta be what LaserCaps said. Your pictures don't look all that bad but we don't know the whole story Link to comment Share on other sites More sharing options...
Regular Member juanjs84 Posted December 22, 2021 Regular Member Share Posted December 22, 2021 15 hours ago, LaserCaps said: If you were deemed to be a non candidate, why make all these plans? Oh, but wait. You are tightly shaven...Sometimes this kind of gets in the way and the doctor may think you have poor donor when in reality the opposite is the case. Other times, and it's likely to be the case, you may be experiencing some degree of thinning in donor which would result in subsequent thinning of the grafts. So, my first suggestion, let your hair grow and reassess. The second thing, take advantage of this time and get on a medical regimen, (Propecia, Rogaine, PRP, Laser). Do them religiously for 1 year and reassess. If you do improve, you may end up having more options. Be patient, follow the advice of @LaserCaps and meet more doctors, as @Gatsby says. Recently I met a guy who wanted to get a hair transplant, and the first advice I gave him was to start some medical treatment to improve his hair quality. Link to comment Share on other sites More sharing options...
Senior Member Gasthoerer Posted December 22, 2021 Senior Member Share Posted December 22, 2021 To give advice we need pics with hair a little grown out. From the pics you shared I can understand why ASMED rejected you. Looks like you have retrograde alopecia in the nape area. 400+ grafts in 2018 and 2900 grafts in 2020 via FUE with Feriduni Link to comment Share on other sites More sharing options...
Senior Member SLA Posted December 22, 2021 Senior Member Share Posted December 22, 2021 Do not despair @abracadabra- I know of someone else, a NW4 who has posted very successful results in this forum who had a HT with Eugenix (AND is currently a few months out from his 2nd procedure for the crown) and he too was rejected by ASMED. I think a lot of people hear different things from different clinics. Best thing I did was have an IN PERSON consultation with Dr. Bisanga who accurately measured my donor capacity, combed through and even cut a couple of snips of my hair, inspected with a dermascope and then told me my total donor capacity and laid out a surgical plan. Link to comment Share on other sites More sharing options...
Senior Member SLA Posted December 22, 2021 Senior Member Share Posted December 22, 2021 ...and there is the beard hair option and plenty of surgeons such as Eugenix and Felipe Pittella (look at his most recent result on a NW7 guy with 'poor' donor) that know how to properly harvest, homogenously deplete and work with a non-optimal donor. Some surgeons are more apt to do this....just take @Zoomsterwho was rejected from a couple of clinics (one that is recommended on this forum) and one reputable clinic even told him they would ONLY be able to harvest around 3,500 grafts combined FUT/FUE/BHT. Zoomster recently completed his 2nd procedure from Eugenix and has had a total of 11,600 grafts harvested and FUT was not even used. Get other opinions for sure! Link to comment Share on other sites More sharing options...
Moderators Al - Moderator Posted December 22, 2021 Moderators Share Posted December 22, 2021 3 minutes ago, SLA said: I think a lot of people hear different things from different clinics. Best thing I did was have an IN PERSON consultation with Dr. Bisanga who accurately measured my donor capacity, combed through and even cut a couple of snips of my hair, inspected with a dermascope and then told me my total donor capacity and laid out a surgical plan. Yep. An in person consultation is always going to be better than online. I think most Drs who only see you online are going to be much tougher on who they judge to be candidates because they don't want to say OK and then you set up a surgery date, you get there for the surgery which is the first time the Dr sees you, and then you turn out to not be a very good candidate in person and he has to cancel the entire surgery. That is bad for everyone. If you are getting rejected online, try going to a quality Dr near you and see what they say. Al Forum Moderator (formerly BeHappy) I am a forum moderator for hairrestorationnetwork.com. I am not a Dr. and I do not work for any particular Dr. My opinions are my own and may not reflect the opinions of other moderators or the owner of this site. I am also a hair transplant patient and repair patient. You can view some of my repair journey here. Link to comment Share on other sites More sharing options...
DrTBarghouthi Posted December 22, 2021 Share Posted December 22, 2021 I strongly urge you to grow the hair longer and to possibly get someone to see you in person to assess the donor. The photos may or may not be helpful. To be frank, I will not recommend any surgery by looking at these phots. However, proper assessment and maybe some growth can help make a better decision. 3 Dr. Taleb Barghouthi approved and recommended on the Hair Transplant Network. You can schedule a virtual consultation with me here. Contact me via WhatsApp at +962798378396 (Jordan) Social media: Facebook YouTube Twitter Instagram Link to comment Share on other sites More sharing options...
Senior Member pkipling Posted December 23, 2021 Senior Member Share Posted December 23, 2021 The advice here is solid, particularly that you don't want to completely dismiss Asmed's opinion on the matter. Growing your hair out and seeing an elite surgeon in person will really help give you more of the info you're looking for - but also keep in mind that even if it's true that you're not a good candidate, you won't have any problem finding a surgeon who's willing to work on you if you ask around enough. That doesn't mean that it will be a good idea. I hope it turns out that you're a good candidate and are able to get the results you're looking for. Just make sure to properly manage your expectations along the way as you get more info about what is actually possible for you. I am a patient advocate for Dr. Parsa Mohebi in Los Angeles, CA. My views/opinions are my own and don't necessarily reflect the opinions of Dr. Mohebi and his staff. Check out my hair loss website for photos FUE surgery by Dr. Mohebi on 7/31/14 2,001 grafts - Ones: 607; Twos: 925; Threes: 413; Fours: 56 Link to comment Share on other sites More sharing options...
Senior Member Ryan Daniel Posted March 17, 2022 Senior Member Share Posted March 17, 2022 (edited) Clearly that doctor isn't skillful enough to harvest your donor without making it look over harvested... anyway As some people have said, it would be nice to see the hair longer Yourdonor area looks full enough, and under the right people are can be guaranteed they will make good use of those grafts You should think of this as a blessing... that you dodged this turkish clinic Edited March 17, 2022 by Ryan Daniel 1 Link to comment Share on other sites More sharing options...
Senior Member JayLDD Posted March 25, 2022 Senior Member Share Posted March 25, 2022 ASMED tend to approach cases to achieve some sense of "full coverage", a little bit thin in the crown but basically have patients after 2 surgeries walk out looking like they have a full head of hair. If they don't see this as possible, then you're setting yourself up for disappointment relative to other ASMED cases and from a marketing perspective they would want you walking around as an advertisement to their work. I would reiterate what others have said that its difficult to tell what is going on when you are shaven, however its clear there is thinning behind the temples and at the bottom of the donor, likely retrograde alopecia. I'd also say that even from these photos you're hardly the most difficult looking case in the world, I would consider Eugenix as someone else mentioned or FUT. 1 HT1: https://www.hairrestorationnetwork.com/topic/48494-asmed-koray-erdogan-3070-grafts-april-10th/ HT2: https://www.hairrestorationnetwork.com/topic/51224-3038-grafts-fue-asmed-koray-erdogan-30th-april/ Link to comment Share on other sites More sharing options...
Administrators Melvin- Admin Posted March 25, 2022 Administrators Share Posted March 25, 2022 As many have mentioned, the pictures can be deceiving. I suggest growing your hair out and sending your case to clinics that tackle tough cases. 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...
Eugenix Hair Sciences Posted March 26, 2022 Share Posted March 26, 2022 You should grow your hair out (donor and recipient) for maybe two weeks and then send across your scalp pictures to different clinics. You will get an idea of what can be possible for your case thereafter. Link to comment Share on other sites More sharing options...
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