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Crown/Mid-Scalp FUE - 3000 Grafts - Dr. Arika (Eugenix)


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Hello everyone. I’ve been following this forum for some time now -  I am excited for my FUE hair transplant with Eugenix scheduled in Feb 2022. I’ll be traveling from US to India (Gurgaon) for the surgery with Dr. Arika Bansal. 

Background - In my early 30s, healthy, no allergies or significant medical history. Hair loss started in mid 20s. It started from the crown/vertex area and progressed to the mid/frontal scalp, but it’s been stable for over a year now. Hairline has receded slightly but it is unchanged for the most part, and I’m happy with where it is right now. 

Goal:  Gain overall density on the crown/vertex and mid/frontal scalp area. Prevent future hair loss with medications. 

Current Medications:

  • Nutrafol - I’ve been using it for 1 year now, and will continue its use after the transplant.  
  • Topical 0.25% Finasteride - Used it for 6 months (discontinued it recently since I switched to oral Finasteride) - may resume it, if needed. 
  • Oral Finasteride 1mg - 1 month - 3x/week right now but will switch to once daily after the transplant. 
  • Topical 5% Minoxidil - Used it for 6 months (discontinued 1 month prior to hair transplant) - will resume it after the transplant (unsure if I need to wait a certain period of time after the procedure) 
  • Adult Multivitamin - once daily 
  • Laser Cap - 30 minutes 3x/week. 

Consultation with Eugenix revealed the following:

  • Grade 1 Diffuse Thinning 
  • Will the need the following: 
    • Front Scalp - 500 grafts
    • Mid Scalp - 1500 grafts
    • Crown - 1000 grafts
    • All grafts from scalp. I’m not opposed to grafts from beard, if needed. 

Will keep everyone posted with the progress. Excited for the journey and looking forward to advice, recommendations, suggestions from everyone. Thanks for reading. 

 

 

 

 

 

 

 

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Edited by Melvin- Moderator
changed title per member request
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Can you please describe the consultation process with Eugenix? Did you have a virtual/webcam consult? What were the consult and surgery waiting times for you?

I just submitted my preliminary 1st email with Eugenix yesterday. Thanks and best wishes for your surgery!

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@SadMan2021 Consultation process was seamless. Emailed Eugenix in October - submitted a detailed history, photos,goals,etc. Got a response shortly after - within days, if I remember correctly. Went back and forth a few times in terms of goals/expectations and Amandeep was very helpful with communication. I think it is important to do your own research, consult with multiple surgeons, and evaluate who’s the right fit for your hair transplant goals. Amandeep has been in contact with me ever since with scheduling, visa, etc.  I intentionally planned the procedure for February so I’m unsure what are the current waiting times. Good luck to you as well. 

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9 minutes ago, HTJOURNEY2022 said:

@SadMan2021 Consultation process was seamless. Emailed Eugenix in October - submitted a detailed history, photos,goals,etc. Got a response shortly after - within days, if I remember correctly. Went back and forth a few times in terms of goals/expectations and Amandeep was very helpful with communication. I think it is important to do your own research, consult with multiple surgeons, and evaluate who’s the right fit for your hair transplant goals. Amandeep has been in contact with me ever since with scheduling, visa, etc.  I intentionally planned the procedure for February so I’m unsure what are the current waiting times. Good luck to you as well. 

thank you!

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  • 3 weeks later...

Final Count: 3000 Grafts (2500 in Crown + 500 in Mid-Scalp)

Surgery was performed comfortably over 2 days. Dr. Bansal and her team were efficient and thorough from start to finish. Hoping for great results. Will keep the forum updated with pictures over the next few months. 

Will continue with the following:

  • Finasteride 1mg daily 
  • Nutrafol daily 
  • Multivitamin daily 
  • Minoxidil Oral Tab 1.25mg daily (once I get an Rx)
  • Nizoral 2x/week (after 1 month) 
  • Laser Cap 3x/week (after 1 month) 

 

PRE-OP PHOTOS 

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Post-op Day 7 : Headwash @ Eugenix + Headwash @Home (2x)

Be patient (took like 45 mins - 1hr )  - used baby shampoo and gently rubbed w/ finger until all scabs became lose and eventually fell out w/ warm water. 

Noted lots of redness especially on the lower part of the crown - hopefully that’s normal and will resolve with time. 

- Vertex area looks a little bumpy/raised - is that normal? 

- What would you all recommend I apply to my scalp after shampooing to ensure it stays hydrated? I know Eugenix discouraged hair oil.  Would conditioner be sufficient? If so, any recommendations? 

CA91A2B3-BB41-4010-890D-F1ABF430658F.thumb.jpeg.880c44c8bad4243f3c9566091b0c4ed4.jpeg

 

 

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Post-op - 2 Weeks

Current Routine:

Oral Finasteride 1mg Daily

Oral Minoxidil 2.5mg Daily 

Nutrafol Daily

Multivitamin Daily

Application of Aloe Vera 2 hours prior to shampooing. 

Baby Shampoo (MWThSatSun) and Ketoconazole Shampoo 2% (Tues and Friday) (due to dryness/dandruff on the transplanted area)  

Starting Today - Laser Cap without touching the transplanted area - 3x/week 

 

02213628-CB55-4374-99CC-7D7B0ACAC5E9.thumb.jpeg.255214c1800436d082d6b699f32d2d89.jpeg9BD0FB03-F144-431B-A142-8800F1CADD85.thumb.jpeg.9057a3e75fbd0c5125bcd8f1be849c14.jpeg2331A1B0-C0B7-4238-8402-66435913F8CE.thumb.jpeg.d75e4152e8639feedee68935ef5558e0.jpeg82F8878A-4E93-4FF5-B5C2-9E8D50795E6F.thumb.jpeg.afb5f16630dc8064d40d4b104ee47518.jpeg

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  • Melvin- Moderator changed the title to Crown/Mid-Scalp FUE - 3000 Grafts - Dr. Arika (Eugenix)
  • 3 weeks later...


1 Month Update - Appreciate any feedback! 

  • Taking the following everyday - Finasteride 1mg tab, Minoxidil 2.5mg tab, Multivitamin gummies, Nutrafol capsules, Cod liver oil capsules capsules 
  • Ketoconazole shampoo (3x/week), LaserCap cap(3x/week, 20 mins session)

Here are my concerns so far - Looking forward to your feedback. 

  • I haven’t noticed much shedding while in the shower or during the day but the crown looks a little thinner than immediately post-op  (I don’t know if that’s due to the contrast of fuller hair in the surrounding areas - let me know what you all think) 
  • Developing pimples on the scalp despite daily shampoo with J&J Baby Shampoo /alternating with ketoconazole. I don’t recall having pimples on my scalp in the past. Is that common post HT

8CC042A1-718C-434F-AEB3-77C2557FB5E6.thumb.jpeg.c5a376e14cabafc902a23f47a3cf8d4d.jpeg9A5F1D39-6711-4F9F-9412-D8B04F12AD51.thumb.jpeg.9ae8753bede4870565a28a9152363a9f.jpeg

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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11 hours ago, HTJOURNEY2022 said:

Developing pimples on the scalp despite daily shampoo with J&J Baby Shampoo /alternating with ketoconazole. I don’t recall having pimples on my scalp in the past. Is that common post HT

I had the same issue as well 20 days into my HT and I was super freaked out about this. Just ignore them, they will disappear after a few days and it will have no impact whatsoever on the result.

 

11 hours ago, HTJOURNEY2022 said:

I haven’t noticed much shedding while in the shower or during the day but the crown looks a little thinner than immediately post-op  (I don’t know if that’s due to the contrast of fuller hair in the surrounding areas - let me know what you all think) 

Any shock loss you experience will revert itself once you are in the growth phase after a few months.

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On 3/13/2022 at 10:17 AM, Mggm said:

I had the same issue as well 20 days into my HT and I was super freaked out about this. Just ignore them, they will disappear after a few days and it will have no impact whatsoever on the result.

 

Any shock loss you experience will revert itself once you are in the growth phase after a few months.

Got it, thank you for your feedback. Hope your HT journey is going well. Would love to follow it.

 

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  • 4 weeks later...

2 MONTHS UPDATE:

Recent haircut but transplanted areas were NOT trimmed. 

Would love your feedback! @Melvin- Moderator @kirkland @MazAB @Zoomster @Gatsby

Feels like I’m far from baseline at this point. Frontal scalp (native hair) and donor area seem to be coming along as expected but definitely struggling to see growth on the transplanted region (mid-scalp and crown). Keep in mind that that lower crown wasn’t transplanted as there were already native hair there (not a lot but sufficient where the Dr. Arika didn’t recommend transplant on that area). 

Continuing with the following (NO SIDE EFFECTS): 

  • Finasteride 1mg daily
  • Minoxidil 2.5mg daily
  • Biotin 10,000mcg daily
  • Code Liver Oil daily
  • LaserCap 3x/week for 30 minutes
  • MSM (thinking about discontinuing it at 3 months mark) - in attempt to streamline therapy and compliance. 

In addition, I’d like to add topical dutasteride 0.1% (once a week) at 3 month mark. What do you all think? Any other recommendations? Thank you. 

 

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You are doing everything right. However I think you are being hypercritical at far too early in your journey. At 8 weeks post op it is still very early days personally I wouldn’t be analyzing anything. Like I said you are doing everything right. Maybe assess once a month so you can see the incremental changes in more detail. Many thanks for sharing and I look forward to your updates. 

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You’re actually looking right on track for this early point in the journey! Nothing really happens until at least 3.5-4 months, and even that is just initial growth for most. 

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