Second procedure with dr. Couto of Fuexpert

[stockholmare]

Hello dear forum-friends, 

I am posting with my heart full of hope, as I will soon leave to Madrid to touch up my first (unsuccessful) procedure with dr Couto. I am now 13 months post-op, as the first surgery was carried out in Jan 2022. For reference, you can find that thread here

So, tomorrow I will undergo another procedure, with him again to add the density that failed to stem from the first surgery.

Backgroud:

After the 2000 grafts procedure, according to the Dr, my body failed to provide enough blood supply to the transplanted units, thus delivering low yield: the doc will assess the exact yield and needed grafts for this second surgery once I’ll be at the clinic. In my personal opinion my yield was about 30-35% (I am unsure tbh), but I hope he will bring some of his magic and not to need too many grafts, because I would like to keep some for future needs, should there be.

Looking forward:

I decided to go again with dr. Couto because, despite the low growth of the first procedure he struck me as a very integer person and professional, who truly cares about his patients and their happiness, and whose skills are second to none.

I will update this regularly for your reference.

Attached is the 13 months post op situation that I hope dr. Couto will be able to fix🤞🤞

Wish me luck!😄

[Big Rome]

19 minutes ago, stockholmare said:

Hello dear forum-friends, 

I am posting with my heart full of hope, as I will soon leave to Madrid to touch up my first (unsuccessful) procedure with dr Couto. I am now 13 months post-op, as the first surgery was carried out in Jan 2022. For reference, you can find that thread here

So, tomorrow I will undergo another procedure, with him again to add the density that failed to stem from the first surgery.

Backgroud:

After the 2000 grafts procedure, according to the Dr, my body failed to provide enough blood supply to the transplanted units, thus delivering low yield: the doc will assess the exact yield and needed grafts for this second surgery once I’ll be at the clinic. In my personal opinion my yield was about 30-35% (I am unsure tbh), but I hope he will bring some of his magic and not to need too many grafts, because I would like to keep some for future needs, should there be.

Looking forward:

I decided to go again with dr. Couto because, despite the low growth of the first procedure he struck me as a very integer person and professional, who truly cares about his patients and their happiness, and whose skills are second to none.

I will update this regularly for your reference.

Attached is the 13 months post op situation that I hope dr. Couto will be able to fix🤞🤞

Wish me luck!😄

chin up bro, I’m 1000% sure he will be able to rectify things and give you the hair you wanted first time round, he’s incredible tbh.  will be worth it in the end I’m sure 

[TorontoMan]

Very nice native hair behind the transplant. Can you take a photo less zoomed in so we can see a more encompassing photo of your situation? It's great to hear how much Dr. Couto cares for the patient and I have no doubt you'll get the result you want second round. 

[Jackdaniels]

14 hours ago, stockholmare said:

Hello dear forum-friends, 

I am posting with my heart full of hope, as I will soon leave to Madrid to touch up my first (unsuccessful) procedure with dr Couto. I am now 13 months post-op, as the first surgery was carried out in Jan 2022. For reference, you can find that thread here

So, tomorrow I will undergo another procedure, with him again to add the density that failed to stem from the first surgery.

Backgroud:

After the 2000 grafts procedure, according to the Dr, my body failed to provide enough blood supply to the transplanted units, thus delivering low yield: the doc will assess the exact yield and needed grafts for this second surgery once I’ll be at the clinic. In my personal opinion my yield was about 30-35% (I am unsure tbh), but I hope he will bring some of his magic and not to need too many grafts, because I would like to keep some for future needs, should there be.

Looking forward:

I decided to go again with dr. Couto because, despite the low growth of the first procedure he struck me as a very integer person and professional, who truly cares about his patients and their happiness, and whose skills are second to none.

I will update this regularly for your reference.

Attached is the 13 months post op situation that I hope dr. Couto will be able to fix🤞🤞

Wish me luck!😄

Good luck with your second procedure.

Your first surgery with dr Couto was indeed bad with low yield which is totally unacceptable when you pay premium and you don’t want to lose any valuable grafts.

I wish your second surgery with couto to be better than the first one. Keep us updated. 

[Zinedine]

15 hours ago, stockholmare said:

Hello dear forum-friends, 

I am posting with my heart full of hope, as I will soon leave to Madrid to touch up my first (unsuccessful) procedure with dr Couto. I am now 13 months post-op, as the first surgery was carried out in Jan 2022. For reference, you can find that thread here

So, tomorrow I will undergo another procedure, with him again to add the density that failed to stem from the first surgery.

Backgroud:

After the 2000 grafts procedure, according to the Dr, my body failed to provide enough blood supply to the transplanted units, thus delivering low yield: the doc will assess the exact yield and needed grafts for this second surgery once I’ll be at the clinic. In my personal opinion my yield was about 30-35% (I am unsure tbh), but I hope he will bring some of his magic and not to need too many grafts, because I would like to keep some for future needs, should there be.

Looking forward:

I decided to go again with dr. Couto because, despite the low growth of the first procedure he struck me as a very integer person and professional, who truly cares about his patients and their happiness, and whose skills are second to none.

I will update this regularly for your reference.

Attached is the 13 months post op situation that I hope dr. Couto will be able to fix🤞🤞

Wish me luck!😄

Nice to see you will be doing a touch-up with Dr Couto, can't think anyone better than him... One thing, with the photos you post it we can not really see a real-life hair transplant result... I mean, camera is way too close and focusing on just a number of follicles ... to have a better idea of your overall result, could you post some photos with the camera at least 1 meters or so... and could you share some photos of your donor? ... Best of luck these days and thanks for sharing your experience.

[stockholmare]

So here I am at 10 days post surgery. Scabs removed just now and normal life about to begin again ✌️

the surgery:

As son as I arrived at the clinic The doctor assessed about 400 graft to fix my situation, which I was happy about. We ended up doing a bit more than that (460-470) but still very reasonable amount: the strategy was not to pack too much to avoid ultra blood-competition among implanted hairs and optimize for survival rather than perfect density.
I bled a lot during the surgery, due to some dermatitis I have: this was not good and dr Couto told me that straight away: hopefully this will not affect my regrowth badly but it is not possible to tell.
I must say I really felt taken care of, regardless: the doc had planned for a quick touch up of my hairline and corners, and because of the bleeding, we ended up implanting for about 3.5 hours: he did every single graft himself. He offered me a lift back to my hotel (legend) but I really had my accommodation just behind the corner 😂.

We agreed I will probably need a final round in one year from now (100 grafts if everything grows back this time🤞).

Now what:

I will start oral minoxidil and some supplement (zinc, b complex, d, etc) tomorrow as indicated by the doc.

I will start praying and hoping that this time my growth rate is in the 90%

some questions for this community:

is it normal to have some hair shafts come out with the scabs during the scab removal washing?

is it normal to feel some pain (bruise-like pain) in the recipient area at this stage?

Pics
below the pre op, immediate post op, 7 days and 10 days (most recent pics are last). 

 

 

[Calihome1]

I don’t understand, the first surgery result was due to lack of blood supply whereas the second surgery you had excess bleeding?

[Rafael Manelli]

Couto sounds like a good doctor and an honorable guy. Nice to hear he’s trying to play it safe for you. You have great hair caliber. I’m confident this will go well for you. Good luck and happy growing