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Konior for nw 6


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I consistently see Dr. Koniors name as one of the best to ever do it. Mainly for his artistry and strategic abilities to get a solid result. I may be wrong, but i don’t usually see his name for megasessions like you do with h&w or other clinics. Would you include him on the list of surgeons you would consider if you needed 5-6K+ grafts? Personally i don’t see why not, but I’m curious as to everyone else’s opinions considering he’s usually mentioned for his strategic, conservative approach. He recommended less grafts than my other consultations for shock loss reasons, while others don’t have an issue working through existing hair. 

-J

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1 hour ago, Grouse said:

Hey! I’m on my way to a 6, and trying to book a virtual (maybe in person, I live close) with him. Not sure he’s even up for taking on NW6’s, happy to report back. 

Why wouldn’t he be up for that ?

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I think that he certainly could deliver a superb result on a NW 6 but I think there are a couple reasons why we don't see many mega sessions from him. I think the main reason is how meticulous he is with each aspect of hair restoration. He takes his time with planning, and every extraction and implantation. Every decision is calculated to get the best aesthetic result and this approach simply takes time. To get 5-6K grafts in one restoration would probably take 3 days. I had around 2,000 grafts on my first with him and I  was at the office from 0630 until 9:30p. My second was around 700 head and 700 beard grafts and I was still there about 12 hours. So, it is time prohibitive. In addition, I think another reason he doesn't do it is because it is cost prohibitive for most of the population. That amount of FUE grafts in one transplant would be very difficult for most people to afford. 

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Bosley 11-2016 FUE - 1,407 grafts

Dr. Diep 09-2017 FUE - 2,024 grafts

Dr. Konior 03-2020 FUE - 2,076 grafts

Dr. Konior 09-2021 FUE - 697 scalp to scalp, FUE - 716 beard to beard Total scalp FUE - 6,204 grafts 

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I’ve always said there is no “best” only best for your specific goals and situation. Dr. Konior doesn’t do megasessions as much, he can and has done big strips, but has said H&W may be a better option if that’s what you’re looking for, as for me, I just got done with my final surgery at Eugenix. In my opinion, top class clinic for NW6+ patients. What they were able to get outta my donor was nothing short of spectacular (thread incoming).

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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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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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I actually just observed @Parsa Mohebi, MD perform a 4,000 graft FUE case over 2 days and he has extensive excellent results with megasessions. You should consult with Dr. Mohebi

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. 

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His approach is too meticulous for a standard ‘mega session’ and this number of grafts would be spread out over a number of days in his practice - he’d potentially prefer it spread over months also, for shock loss purposes. 
 

It would also cost an extreme amount. 

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Konior is terrific at anything he does hair-wise. Therefore, I would get his opinion. He will be honest, and his opinion comes with much experience and wisdom. He is a quality individual who shoots straight. Melvin had an amazing procedure at Eugenix. He knew what he was doing when he selected the "magnificent duo" for possibly his last session. The key to any transplant is sufficient donor and cash to pay, skillful and artistic surgeons, and first-rate trained technicians.  In  my opinion, there are probably a dozen clinics out there ot more that can put all 4 of those together as long as you can afford it. The variabililty you see is because of the patient's characteristics (good, bad or so-so) and the team that does the procedure. If you go the Eugenix route make sure you get with Mel for a  one-two (think Mel was a boxer) on what to do.

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18 hours ago, James C said:

I consistently see Dr. Koniors name as one of the best to ever do it. Mainly for his artistry and strategic abilities to get a solid result. I may be wrong, but i don’t usually see his name for megasessions like you do with h&w or other clinics. Would you include him on the list of surgeons you would consider if you needed 5-6K+ grafts? Personally i don’t see why not, but I’m curious as to everyone else’s opinions considering he’s usually mentioned for his strategic, conservative approach. He recommended less grafts than my other consultations for shock loss reasons, while others don’t have an issue working through existing hair. 

-J

I'm a NW6 (possibly heading to a 7, and expect that I'll need around 6k grafts in total for decent overall coverage...). Despite that, Konior agreed to proceed with my surgery, limiting the number of grafts for a first pass at around 2,000 (though seemed open to 3,000 range, depending on extent of loss, pattern and the circumstances). If you're going to use Dr. Konior for 5k-6k grafts, my impression is that he's open to it, perhaps provided that you do it in multiple sessions (someone feel free to correct this point if they've done megasessions with him).  If his costs don't pose problem and if you don't mind doing smaller sessions, I think you'd be in amazing hands even for a higher NW. Check out @Tao who had insane results from Dr. K, despite the high Norwood for example.

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I think the multi step approach, not just for higher norwoods, but in general, are just a safer, more efficient strategy. 

I fully appreciate the desire and the appeal in having a one job and thats you done kind of surgery, however you have to think of, and remember your grafts are a FINITE bag of casino chips. 

Very seldom would there be many people who would rush to the roulette table and throw down their full bag. 

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On 1/3/2022 at 8:59 PM, James C said:

I consistently see Dr. Koniors name as one of the best to ever do it. Mainly for his artistry and strategic abilities to get a solid result. I may be wrong, but i don’t usually see his name for megasessions like you do with h&w or other clinics. Would you include him on the list of surgeons you would consider if you needed 5-6K+ grafts? Personally i don’t see why not, but I’m curious as to everyone else’s opinions considering he’s usually mentioned for his strategic, conservative approach. He recommended less grafts than my other consultations for shock loss reasons, while others don’t have an issue working through existing hair. 

-J

He used to do 3000-4000, sometimes up to 4500 FUT, up until about 4 or 5 years ago.  Since then he's been trying to reduce the workload now he's getting into his early to mid 60s.  Based off what I've seen the last few years he generally seems to cap things at around 3000 FUT or 2000 FUE.

4,312 FUT grafts (7,676 hairs) with Ray Konior, MD - August 2013

1,145 FUE grafts (3,152 hairs) with Ray Konior, MD - August 2018

763 FUE grafts (2,094 hairs) with Ray Konior, MD - January 2020

Proscar 1.25mg every 3rd day

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On 1/4/2022 at 10:34 AM, Curious25 said:

I think the multi step approach, not just for higher norwoods, but in general, are just a safer, more efficient strategy. 

This.  You'll see higher NW's from Dr. K, some of them with very little to work with, but most will be multiple procedures like myself.  Here's an example of a high NW, repair case of his.

 

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Dr. G: 1,000 grafts (FUT) 2008

Dr. Paul Shapiro: 2,348 grafts (FUT) 2009 ~ 1,999 grafts (FUT) 2011 ~ 300 grafts (Scar Reduction) 2013

Dr. Konior: 771 grafts (FUT) 2015 ~ 558 grafts (FUT) 2017 ~ 1,124 grafts (FUE) 2020

My Hair Transplant Journey with Shapiro Medical Group

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I had about 6,800 (wow) grafts transplanted with Dr. Konior over 3 sessions.  As much as I would have liked to have had that done in one session, I'm grateful I didn't.  The advantage of several sessions is that you get to see what each comes out like and then adjust to what you need the most for your next session.  I did the front third first, then my crown.  And then for my third, I needed additional crown work but also work on my sides and part as I had lost more over the years.  One and done would probably have not resulted in as good a result as I got with three separate sessions.  But its a waiting game then until you finally get to the finish (and truth be told, I could probably use one more last little touch up on my crown the black hole of grafts).  So I understand the appeal of a megasession.

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Yes, a good down payment on a house or a new car.  Fortunately, I found Dr. Konior a little before he got popular so he didn't charge as much in the past.  The three spaced out sessions allowed me to save for each too.  Don't think I could have taken the hit all at once.

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On 1/8/2022 at 5:32 PM, webathon said:

What is the real need for a mega session anyway? It seems safer to do smaller sessions spread out to prevent shock loss. Just get one surgery this year and another next year or the following year.

I think it boils down to the clinic. Some clinics consistently get great results with megasessions. Hasson and Wong and Eugenix come to mind. You need to have the staff to do such a large procedure, most clinics don’t have the staff equipped to do such a large procedure. 

Who doesn’t want to get it done in two procedures. I’ve had 4 procedures, I don’t regret it, but looking at someone like @Zoomster who’s gotten the same in 2 surgeries, I can definitely see the appeal. 


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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