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3054 Graft FUE - Dr. De Freitas (Valencia)


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3 hours ago, ObtuseAlbatross133 said:

Sigh this is so sad.. I’m pretty devastated to be honest 😢 

hey dont be devastated. My points are simply a generalization. you are still early and it can still be a good results, and even if its not, you still have a lot of ammunition to work with for future. 

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4 hours ago, drawdownfx said:

I was thinking the same, the above pictures look good but maybe we aren't seeing what the OP wants us to see. Did the clinic get back to you? @ObtuseAlbatross133

There’s very little growth behind the hairline. I (very easily) pulled out a ton of dead grafts recently that just didn’t grow for whatever reason on the right side.
 

Waiting on a response! 🙂

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Hello ObtuseAlbatross133, How are you?

We would like to tell you that the evolution is within normal, being possible to notice that one entry evolves more slowly than the other. So it is important to wait until 12 months, where the process can progress to a better situation.

The density obtained with a transplant is normally lower than the natural density, because the same density would be impossible in a single transplant, since the follicles present a skin that makes a physical barrier of approximation. On the other hand, if the density reached were similar to the natural density, the vascularization process would be compromised and consequently the growth.

It is normal that some short hairs that have not been able to be released at the time of washing continue to remain. It is important to continue with the pharmacological treatment and wash the hair daily with greater intensity using the fingertips to release the hairs that have not fallen after 20 days.

The hair will gain body and thickness month by month. It is still too early to obtain such a rapid evolution. It is advisable to disconnect from the hair as stress increases estrogens and androgens, causing low growth.

If you have any doubt you can contact us to offer you the support and information you need.

We remain at your disposal if necessary. Best regards.

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▪️Ignacio Torres Blanchard - Representative of De Freitas Clinic
▪️https://www.injertocapilar-alopecia.es/en - https://www.clinicadefreitas.com
▪️
(+34) 681 273 588

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3 hours ago, De Freitas Clinic said:

Hello ObtuseAlbatross133, How are you?

We would like to tell you that the evolution is within normal, being possible to notice that one entry evolves more slowly than the other. So it is important to wait until 12 months, where the process can progress to a better situation.

The density obtained with a transplant is normally lower than the natural density, because the same density would be impossible in a single transplant, since the follicles present a skin that makes a physical barrier of approximation. On the other hand, if the density reached were similar to the natural density, the vascularization process would be compromised and consequently the growth.

It is normal that some short hairs that have not been able to be released at the time of washing continue to remain. It is important to continue with the pharmacological treatment and wash the hair daily with greater intensity using the fingertips to release the hairs that have not fallen after 20 days.

The hair will gain body and thickness month by month. It is still too early to obtain such a rapid evolution. It is advisable to disconnect from the hair as stress increases estrogens and androgens, causing low growth.

If you have any doubt you can contact us to offer you the support and information you need.

We remain at your disposal if necessary. Best regards.

Hi Ignacio,

Thanks for your message. My concern, however, is not that my transplanted hair doesn’t’ match native density. I did my research prior to the transplant and knew that achieving native density would not be possible and I am ok with that. My concern is that it seems like the majority of the follicles of the hairs transplanted on my right side did not sprout and even if they did, they were not growing and easily removed by tweezers (without pulling at all almost). 
 

Here’s another picture to see what I mean:

C939A33D-8244-4E31-A039-E73329FAC294.thumb.jpeg.ef6127c545228b61987b3966f73d3b5b.jpeg
 

As you can see, there are a lot of gaps, including in the hairline!

 

My 3 week post-op pictures tell a different story:

5AE016A8-304B-4AEA-AFA7-5D8ADD9A0819.thumb.jpeg.fa26bb4d21be7e71b88653f4dcfa1cb0.jpeg

 

I followed all the post-operative instructions, have been taking dutasteride and oral minoxidil, eat healthy, exercise, and am only 27 with a great thick donor. Despite all this, the density is simply not there and I fail to see how things will improve because I am already past the 6 month mark and those gaps I show have zero hairs sprouting out to cover it.

 

I would have been happy with a “poor yield” of 50% on the right side compared to my 3 week post op pictures! What’s sad is not only that the yield seems much less than 50% to me, but all the grafts I’ve potentially lost forever 😞

Edited by ObtuseAlbatross133
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54 minutes ago, ObtuseAlbatross133 said:

I guess my question now is, is there anything I can do to salvage these results? Would microneedling the recipient perhaps help?

I understand your concern. However, it is too early to draw conclusions.
Please keep in touch with our post-op department and they will give you guidelines to follow. Also, if necessary they will ask you for more images to be evaluated by Dr.

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▪️Ignacio Torres Blanchard - Representative of De Freitas Clinic
▪️https://www.injertocapilar-alopecia.es/en - https://www.clinicadefreitas.com
▪️
(+34) 681 273 588

De Freitas Clinic.png

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About 7 months and 1 week at this point and starting to give up. Been in talks with the clinic and they said to wait until the 12th month mark. Until then, they said to use Clobisdin (clobetasol) once a day, and to increase my minoxidil dosage to 5mg and dut to 3x a week.
 

I’m pretty devastated to be honest and wish I’ve never had the transplant. I got it initially to stop thinking about my hair and if anything I’m thinking more about it when I consider that I used up 3,000+ grafts to get a wispy hairline with a bunch of scarring in my donor area. Thanks for the support everyone but I think this will be my last post on this unless it improves.

32CE2CD3-DCED-4ABE-AD82-282B239AF1CE.thumb.jpeg.eb71b1a4f2d38a4871f1d1bbc80861f8.jpeg

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2 hours ago, ObtuseAlbatross133 said:

About 7 months and 1 week at this point and starting to give up. Been in talks with the clinic and they said to wait until the 12th month mark. Until then, they said to use Clobisdin (clobetasol) once a day, and to increase my minoxidil dosage to 5mg and dut to 3x a week.
 

I’m pretty devastated to be honest and wish I’ve never had the transplant. I got it initially to stop thinking about my hair and if anything I’m thinking more about it when I consider that I used up 3,000+ grafts to get a wispy hairline with a bunch of scarring in my donor area. Thanks for the support everyone but I think this will be my last post on this unless it improves.

32CE2CD3-DCED-4ABE-AD82-282B239AF1CE.thumb.jpeg.eb71b1a4f2d38a4871f1d1bbc80861f8.jpeg

Sorry about this mate! I’m not sure what will happen in another 5 months it definitely may improve. 

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I am sorry friend. Be patient wait till 12 months, even if it doesn’t improve it is easily fixable , if you don’t have any underlying disease. 
 

moreover if u continue to take Dutasteride and minoxidil you will probably have enough supply for your future demands. 
 

i don’t agree with the clinic just putting you on steroid shampoo without proper diagnosis. That to me is a bit laziness. If they are suspecting a inflammation they should atleast get you in for a check up or send you to a medical hair loss specialist

Edited by shiba1985
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Hey brother - try to stay positive. I understand the results are not up to your hopes at this point but it’s still fairly early. Also worse case scenario a touch up has you looking 10/10. MANY people on this forum have it WAY worse off than you. You still have donor hair and only need a little bit more density. That’s a good place to be in overall. Not to minimize your worries, but to put things into perspective. Many people would  trade places with you. 
 

There are many wise people on this forum that can help in regards to what you may need at some point from a touch up. My suggestion :

 

In the meantime can you upload more comprehensive pictures of your current situation. Maybe some with hair styled up / pulled back.  From straight on and from sides.  This way the community can fully assess your situation and best help you!! 
 

thanks bro stray up! 🙏

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On 4/9/2022 at 10:49 PM, ObtuseAlbatross133 said:

2-3 day post-op:

 

 

3C9E3F6C-BB22-429B-8FE5-F2388C7ED160.jpeg

72FD1521-A088-464A-92BA-22FD61B712F2.jpeg

I don’t know if these pictures are a true indication of what you’re scalp looked like within the immediate days post op, but it makes me wonder if there was some bruising, or really rough scabs, which in my case (and some others I’ve seen), hindered growth in the area.

However, I also notice that once the scabs came off for you, the recipient area looked very clean, so it’s tough to say.

Do you have any more photos from this period of time, before the scabs came off? Your right temple looks especially rough here in this sequence of photos, as do some other areas, but it’s possible it’s just the reflection from your camera making it look this way?

I also see they prescribed you an anti-inflammation medicine. Did they tell you why they want you on this so many months post op? Do you have any untreated scalp conditions?

 

Edited by Parasol
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8 months and 1 week. Don’t think this are getting any better. It’s gotten to the point where if I have my hair too short or too long, people can clearly tell that my right side is extremely thin… not something I thought I’d have to worry about after a 3,000 graft transplant. Crown also isn’t looking too good compared to pre-op. 😞ADB92779-E27A-4820-BCF6-57CA733F6572.thumb.jpeg.3b5d70c641a8edcdbaf0ebf5c2b7c3b6.jpeg9559F388-464B-4FB7-8F73-6DE2DD4DFED6.thumb.jpeg.405a2900305bb779f19f552939c2cf86.jpegA0FCAC92-CA8A-4029-A36E-C057BE9F1E1D.thumb.jpeg.eaaf4e26dc5c08bca36833a2b5c8dd96.jpeg

EAB5523E-5D87-451F-8C35-368F00512AFB.jpeg

Edited by ObtuseAlbatross133
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I’ve spoken with the clinic a few times (including a different clinic doctor named Dr. Vieira) and they told me to wait until the 12 month mark to make any conclusions and to start using Dut every day and to add clobetasol 2x a week indefinitely. It’s been about 3 weeks of this new protocol with no improvement.

I’m just so confused because the left side is pretty good and the right side looked so good even at the 21 day mark. What could have caused the right side to deteriorate so much. I struggle to understand how it could be a scalp issue I have since the left side grew ok.

 

@Melvin- Moderator I really respect your opinion - do you have any thoughts on this (especially as to why the right side is growing poorly compared to the left)?

Edited by ObtuseAlbatross133
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In that video I see what you're saying, the right side is definitely lagging behind... post op looked good. I wonder is there are just a lot of late growers in there and caliber lagging. I can see why the clinic is like let's see in a few months but I totally get your concern. Hang in there brother nothing to do but wait and  know you covered your bases and did your part. I'd still be hopeful by some measure here, concerned yes, but hopeful. 

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2 minutes ago, ray35 said:

In that video I see what you're saying, the right side is definitely lagging behind... post op looked good. I wonder is there are just a lot of late growers in there and caliber lagging. I can see why the clinic is like let's see in a few months but I totally get your concern. Hang in there brother nothing to do but wait and  know you covered your bases and did your part. I'd still be hopeful by some measure here, concerned yes, but hopeful. 

I see what you mean but it hasn’t improved in 3 months. Also, the gaps don’t have any hair.. not even vellus 😞 

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