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Dr Zarev 11,941 grafts. 1st procedure 8,321, 2nd procedure 3,620


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29 minutes ago, SY7 said:

Awesome result! How do some doctors be able to get so many grafts while others can take a maximum of 4/5000 ? An average donor has about 5/6000 available or something? Does this doctor has a totally different way of extracting or something? Really nice result.


good planning, partial (Zarev) vs full follicular units (“average doc”), and minoxidil. 
 

my educated guess. 

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Ah you mean during the consultation planning, but minoxidil? Don’t they all prescribe it? Btw do you know what the difference in way of doing the procedure is between for ezample Zarev and Pitella and Eugenix? All specialists in High Norwoods?

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1 hour ago, shiba1985 said:


good planning, partial (Zarev) vs full follicular units (“average doc”), and minoxidil. 
 

my educated guess. 

I'm curious about that. 

Say I want 4000 hairs to be transplanted. Would Zarev potentially use more grafts (because he'd use partial grafts for a more homogenised donor) than a more traditional surgeon?

So, it may take Zarev 3000 grafts opposed to 2000 grafts for another Dr?

Would the cost per hair therefore be higher with Zarev (all other things being equal)?

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Posted (edited)
51 minutes ago, BackFromTheBrink said:

I'm curious about that. 

Say I want 4000 hairs to be transplanted. Would Zarev potentially use more grafts (because he'd use partial grafts for a more homogenised donor) than a more traditional surgeon?

So, it may take Zarev 3000 grafts opposed to 2000 grafts for another Dr?

Would the cost per hair therefore be higher with Zarev (all other things being equal)?

yeah he will take up to 80% if necessary & you donor will still look decent but need to be kept short

 

i saw a case of 18k scalp grafts

Edited by hairman22
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17 minutes ago, hairman22 said:

yeah he will take up to 80% if necessary & you donor will still look decent but need to be kept short

 

i saw a case of 18k scalp grafts

can't he basically cure anyone then if he can take up to 80%?

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1 hour ago, BackFromTheBrink said:

I'm curious about that. 

Say I want 4000 hairs to be transplanted. Would Zarev potentially use more grafts (because he'd use partial grafts for a more homogenised donor) than a more traditional surgeon?

So, it may take Zarev 3000 grafts opposed to 2000 grafts for another Dr?

Would the cost per hair therefore be higher with Zarev (all other things being equal)?

I dont think you can worry about that stuff. every doctor has his own technique. someone like konior can put 2000ish.  grafts and make it look full and someone like zarev does it with 4000 and make it look full. They are both putting out good results. dont worry about "per graft" cost. go with who you like and who you can afford. 

 

 

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Posted (edited)
1 hour ago, SY7 said:

Ah you mean during the consultation planning, but minoxidil? Don’t they all prescribe it? Btw do you know what the difference in way of doing the procedure is between for ezample Zarev and Pitella and Eugenix? All specialists in High Norwoods?

sepculating

 

zarev uses smaller punches and tries to use all scalp hair and is more detailed in planning

pitella uses bigger punch, and uses a lot of beard and body hair

eugenix uses scalp and body hair, planning is not as detailed as zarev and it is similar to pitella but less personal care as multiple patients a day. 

placement wise

zarev uses sharp implanters with no pre made incisions

pitella i know uses implanters but not sure if pre made incisions

eugenix has pre made incisions and then implanters. 

Edited by shiba1985
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Posted (edited)
18 minutes ago, shiba1985 said:

I dont think you can worry about that stuff. every doctor has his own technique. someone like konior can put 2000ish.  grafts and make it look full and someone like zarev does it with 4000 and make it look full.

 

Yeah, but did you see Konior taking case like mtb and using just 6000 grafts to achieve result like this? 😉

 

Zarev is using smaller punches on average, but it's not like he is using 0,5-0,6 mm all the time. It depends on characteristics of the hair. You can see here that he extracted 3270 grafts with only 0,7-0,75 pmm punches https://youtu.be/XASvPhbsRO4?t=378

 

Edited by GeneralNorwood
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Yeah, so but do the implanters make such a difference? I saw some Turkish hair mills also use DHI choi implanters as well. It always look like they seem to take more grafts without people noticing it. I saw a video and Zarev his way of planning etc looks impressive. It still is a bit unclear to me why some doctors tell you you have 3000 grafts max and Zarev can take 8000 or something. 

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37 minutes ago, GeneralNorwood said:

 

Yeah, but did you see Konior taking case like mtb and using just 6000 grafts to achieve result like this? 😉

 

Zarev is using smaller punches on average, but it's not like he is using 0,5-0,6 mm all the time. It depends on characteristics of the hair. You can see here that he extracted 3270 grafts with only 0,7-0,75 pmm punches https://youtu.be/XASvPhbsRO4?t=378

 

No I have not but the amount of coverage I have seen konior provide with relatively lesser grafts I can extrapolate from that, that If the patient went back for seconds and thirds he would have relatively full coverage.

even mtb doesn’t have full coverage it’s relatively full but you can tell behind the hairline in mid scalp there are gaps that are covered by hair sleeking back but that’s just the limitation of hair transplant. 
 

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49 minutes ago, shiba1985 said:

sepculating

 

zarev uses smaller punches and tries to use all scalp hair and is more detailed in planning

pitella uses bigger punch, and uses a lot of beard and body hair

eugenix uses scalp and body hair, planning is not as detailed as zarev and it is similar to pitella but less personal care as multiple patients a day. 

placement wise

zarev uses sharp implanters with no pre made incisions

pitella i know uses implanters but not sure if pre made incisions

eugenix has pre made incisions and then implanters. 

Pittella uses the scalp scan AI to plan his surgeries. The scalp scan uses LIDAR technology to quantify the hair miniaturization index, balding surface area and hair mass index to have a precise graft count that will achieve the desired density. It’s completely different. However, I think Zarev has developed his own tool.

I believe both of these tools allow the surgeons to accurately know how many grafts can be extracted without depleting the donor. Cutting edge stuff.

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33 minutes ago, shiba1985 said:

No I have not but the amount of coverage I have seen konior provide with relatively lesser grafts I can extrapolate from that, that If the patient went back for seconds and thirds he would have relatively full coverage.
 

I doubt it. Konior needed 7000 grafts for this patient : ttps://www.hairrestorationnetwork.com/topic/71395-3x-konior-fut-fue-nw6-12-year-update/

And it was obviously lower stage then mtb. 

spacer.png

 

I found another patient from Konior with 6700 grafts : https://www.hairrestorationnetwork.com/topic/56905-raymond-j-konior-md-chicago-hair-institute-evolution-of-a-6710-graft-multi-stage-repair

 

It is far from full head of hair 

 

spacer.png

 

33 minutes ago, shiba1985 said:

even mtb doesn’t have full coverage it’s relatively full but you can tell behind the hairline in mid scalp there are gaps that are covered by hair sleeking back but that’s just the limitation of hair transplant. 
 

He is doing slickback, because he had no-shaving FUE and hair from 1st HT are a lot longer then hair from 2nd HT

 

Let me remind you how his midscalp looked before 2nd HT when hair were combed forward : spacer.png

 

And we can expect that in next months midscalp will improve as well. 

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59 minutes ago, Melvin- Admin said:

Pittella uses the scalp scan AI to plan his surgeries. The scalp scan uses LIDAR technology to quantify the hair miniaturization index, balding surface area and hair mass index to have a precise graft count that will achieve the desired density. It’s completely different. However, I think Zarev has developed his own tool.

I believe both of these tools allow the surgeons to accurately know how many grafts can be extracted without depleting the donor. Cutting edge stuff.

Why aren’t all top surgeons using these method? They are probably aware or behind in technology? I thought they usually meet during annual meetings? Or some doctors just simply don’t feel like doing so many grafts at once? I saw Dr. Bisanga  speaks about the A.I. aproach not sure if it was about the same thing. Maybe a bit silly questions but I am very interested in the differences in aproach of the surgeons.

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Just now, SY7 said:

Why aren’t all top surgeons using these method? They are probably aware or behind in technology? I thought they usually meet during annual meetings? Or some doctors just simply don’t feel like doing so many grafts at once? I saw Dr. Bisanga  speaks about the A.I. aproach not sure if it was about the same thing. Maybe a bit silly questions but I am very interested in the differences in aproach of the surgeons.

The technology is brand new. Scalp scan was just released. I don’t believe Zarev has even released his tools yet. I think in the next 5-10 years every surgeon will have to invest in some form of AI. It is the future. 


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Same thing for using the smallest punch possible; is it inability to do so or not wanting to do that or something?

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Just now, Melvin- Admin said:

The technology is brand new. Scalp scan was just released. I don’t believe Zarev has even released his tools yet. I think in the next 5-10 years every surgeon will have to invest in some form of AI. It is the future. 

Ah ok, didnt know that. Thanks

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Zarev gives us some insight. It’s a combination of the punch and software. 

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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.

Check out my final hair transplant and topical dutasteride journey

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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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On 3/17/2023 at 7:08 PM, HugoX said:

I mean... Are you following my schedule of growth 😅. Except my hair being dark... Looks similar to my 2 months 

 

20230317190435284.jpeg

20230317190603805.jpeg

20230317190644472.jpeg

How is that going about another month in the process?

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On 4/11/2024 at 5:13 AM, SY7 said:

Awesome result! How do some doctors be able to get so many grafts while others can take a maximum of 4/5000 ? An average donor has about 5/6000 available or something? Does this doctor has a totally different way of extracting or something? Really nice result.

Please read this entire thread and other Zarev threads as your question has been addressed many times. Short answer: He plans better than anyone, he uses smaller punches than anyone, he has handheld technology that is better than anyone, he has planning software that is unique that he built, and he takes from a larger area of the donor than most. 

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5 hours ago, OliverAtom said:

How is that going about another month in the process?

@OliverAtom Seems to be going great. Will post 6 month update photos in two weeks. 

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Hopefully the resolution is okay on this. Looks good on iPhone but terrible on WhatsApp. Nearly 6 months from second procedure. Should get a bit more thickness in the next 3 months. 

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