In desperate need of advice

[Syri1001]

In desperate need of advice

Back in 2018 when I had severe hairfall I desperately went to a surgeon in Pakistan to get a hair transplant without doing proper research and the transplant ofcourse failed and over harvested my donor area. They supposedly told me they took 2500 graft but I think it was more than that.  Fast forward to now I’m losing my hair again in the mid scalp and crown and going into deep depression b/c of that so much so that it is affecting my daily life. I want to get another transplant to cover as much of my scalp as possible, but I’m not sure if I have enough donor left. Looking at the pictures can someone please tell me if:

1- should I wait till my thinning is more progressed before getting a 2nd transplant
2- Do I have enough donor left to do another transplant including beard and chest hair?
3- how many grafts do you think it will take to cover the entire area with medium density?
4- I’m saving every penny to get this botched job fix, which surgeon would you suggest in turkey for a person with limited budget.

All the pictures below are recent and after my transplant some with buzz cut some with grown hair. 

Edited March 25, 2022 by Syri1001
Spelling mistakes

[Britanium]

Please be careful in taking your next step, don’t go too cheap and don’t consider Turkey just because it’s more affordable in general. Your donor area has had a high amount of grafts taken from a small area, so your next Clinic/Dr needs to be someone who manages donor areas particularly well. 
Are you on a med regime.? Also how old are you at present? Just wondering how your hair loss is developing. 
Someone like Eugenix/Dr Bisnaga/Dr Feriduni & @DrTBarghouthiwould be ideal to consult with. 

[Britanium]

HDC is another good option, @Doron Haratiis the rep and also had a over harvested donor area in his earlier procedure. 

[hairman22]

I think your lucky that your donor is good apart from that overharvested section.

 

You need to go to a good surgeon though

[Syri1001]

10 minutes ago, J.A.C said:

Please be careful in taking your next step, don’t go too cheap and don’t consider Turkey just because it’s more affordable in general. Your donor area has had a high amount of grafts taken from a small area, so your next Clinic/Dr needs to be someone who manages donor areas particularly well. 
Are you on a med regime.? Also how old are you at present? Just wondering how your hair loss is developing. 
Someone like Eugenix/Dr Bisnaga/Dr Feriduni & @DrTBarghouthiwould be ideal to consult with. 

I’m 32 and not taking any medications. My hair fall seems to come and go in episodes, a year will pass without any shedding and then there will be some months with extreme shedding. Right now I’m seeing a lot of shedding from my crown area and mid scalp. 

[Britanium]

Without meds the hair loss will continue, the pattern developing already is a Norwood 6. Considering Fin would help you retain, but this would need discussion with your own Dr/Dermatologist. Just something to think about for the long term plan. We can’t fully predict on how quickly we will lose more hair, just that it will continue, a med regime can really help. 

Edited March 25, 2022 by J.A.C

[Gatsby]

Do you have immediate pre and post surgery photos that you could share? Personally with number of grafts already taken I would seriously consider taking Finasteride to stabilize your current hair loss before doing anything. I would be looking at a clinic like Eugenix who are excellent in donor management. They are also excellent in using beard grafts. All the best!

[Doron Harati]

My donor was botched really badly, I think your donor is still ok by looking at the photos, do not go for mega sessions, I estimate you'll need 2000-3000 grafts to cover the frontal area.

[Eugenix Hair Sciences]

3 hours ago, Syri1001 said:

In desperate need of advice

Back in 2018 when I had severe hairfall I desperately went to a surgeon in Pakistan to get a hair transplant without doing proper research and the transplant ofcourse failed and over harvested my donor area. They supposedly told me they took 2500 graft but I think it was more than that.  Fast forward to now I’m losing my hair again in the mid scalp and crown and going into deep depression b/c of that so much so that it is affecting my daily life. I want to get another transplant to cover as much of my scalp as possible, but I’m not sure if I have enough donor left. Looking at the pictures can someone please tell me if:

1- should I wait till my thinning is more progressed before getting a 2nd transplant
2- Do I have enough donor left to do another transplant including beard and chest hair?
3- how many grafts do you think it will take to cover the entire area with medium density?
4- I’m saving every penny to get this botched job fix, which surgeon would you suggest in turkey for a person with limited budget.

All the pictures below are recent and after my transplant some with buzz cut some with grown hair. 

1- should I wait till my thinning is more progressed before getting a 2nd transplant

Ans: You should take finasteride to prevent any further progression of baldness. You should try to save as much hair as possible with the use of finasteride regardless of a second transplant or not.

2- Do I have enough donor left to do another transplant including beard and chest hair?

Ans: You seem to have sufficient donor left for the transplantation procedure. Your donor in the back scalp and sides of the scalp seem more than enough.

3- how many grafts do you think it will take to cover the entire area with medium density?

Ans: You would require around 2000 to 2500 grafts approximately for the entire coverage.

[Rahal Hair Transplant]

Syri1001,

Thanks for sharing your story and your photos. I can see by the donor area that your previous surgeon did substantially overtax your donor area, leaving you with evident scarring when your hair is cropped short on the sides and back.  That said, there are ways to potentially minimize the appearance of your existing scarring and in addition, provide you with more hair.

In your post, you ask whether or not you should wait until you experience more hair loss before undergoing a second hair transplant procedure.  Is there a reason you’re not using hair loss medication such as finasteride or even minoxidil in attempt to slow down, stop or even reverse its progression?   While nonsurgical treatments aren’t all that good at regrowing new hair in thinning or bald areas, some of them such as finasteride have a high percentage in helping you keep the existing hair you have. If you can stabilize your condition, it’ll be a lot easier to restore your hair surgically.

Looking at the recipient area, I would venture to say you would need approximately 3000 to 4000 grafts to provide coverage and moderate density in all the thinning areas from the front all way back to the crown - assuming you don’t lose more hair in the process.

As for the donor area however, it’s difficult to say because you already have substantial scarring and you wouldn’t want to make it worse.  It would be a good idea to consult with a few leading hair transplant surgeons to get their professional opinion on how to address the next procedure and how to both maximize the amount of hair for transplanting and reduce the appearance of scarring.

best wishes,

Rahal Hair Transplant

Edited March 25, 2022 by Rahal Hair Transplant

[Nw7HPE]

You still have more than enough donor to fix it . I would look for clinics with best repair cases and donor management . Use of some beard grafts could come into use too .

[DrTBarghouthi]

Thank you for the mention @J.A.C

I believe it’s important given your history to start on some good maintenance therapy such as finasteride. You frontal and anterior Mid scalp will require around 3000 grafts for decent density. The over harvested area will need to be left alone without harvesting, but other areas are luckily untouched it seems. 

[Syri1001]

This is really encouraging thank you for all the replies. I have not started Finesteride as I’m currently trying to have a kid, but I do plan on having 5-6 PRP+stem cell sessions until I decide to get the next HT.