Regular Member Bobby212 Posted March 11, 2023 Regular Member Share Posted March 11, 2023 I had a procedure last week with a doctor recommended on this site, and came away thinking I was taken advantage of. My question though is, is it common practice for a doctor to take any type of measurement of the area receiving the grafts to make a determination of how many grafts for the procedure? Multiplying the area to be filled by a density factor sounds reasonable. My experience not only didn’t include any sort of formal way to determine the graft count, but it was the clinic manager (not the doctor) who first said I would need 3,000 grafts (recessed lateral parts of hairline). The doctor went along with that number, and I wasn’t given any reason for the 3k, when I pushed back that I thought it was too high, was told (again by the clinic manager) that anything less would not look right. So I reluctantly went along with it. Am I way off here thinking there should have been some formal way to determine a graft count? Link to comment Share on other sites More sharing options...
Regular Member sunsurfhair Posted March 11, 2023 Regular Member Share Posted March 11, 2023 (edited) I feel like the US docs eyeball it while the elite docs in Europe seem to be much more specific when it comes to graft counts and measuring the scalp at a microscopic level, etc., at least in person. Ferreira comes to mind as a good example. The tech itself seems to be more advanced over seas - not saying this is going to guarantee a better result, but I do like the newer tech they use vs what the elite US docs do and I wish they would utilize it here. That’s been my experience and some people I know who also got procedures in the US. Edited March 12, 2023 by sunsurfhair Link to comment Share on other sites More sharing options...
Senior Member HappyMan2021 Posted March 11, 2023 Senior Member Share Posted March 11, 2023 Unless you have a limited donor i dont see what the worry is. Link to comment Share on other sites More sharing options...
Administrators Melvin- Admin Posted March 11, 2023 Administrators Share Posted March 11, 2023 Can you share pictures? To be honest, most doctors can see you in person and determine the number of grafts eyeballing it. 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: View my thread Topical dutasteride journey Melvin- Managing Publisher and Forum Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q&A Blog. Follow our Social Media: Facebook, Instagram, Linkedin, and YouTube. Link to comment Share on other sites More sharing options...
Regular Member Rafael Manelli Posted March 11, 2023 Regular Member Share Posted March 11, 2023 7 minutes ago, HappyMan2021 said: Unless you have a limited donor i dont see what the worry is. Everyone has a limited donor. Link to comment Share on other sites More sharing options...
Regular Member Bobby212 Posted March 11, 2023 Author Regular Member Share Posted March 11, 2023 1 hour ago, Melvin- Moderator said: Can you share pictures? To be honest, most doctors can see you in person and determine the number of grafts eyeballing it. A secondary concern of mine in the last few days has been to question if 3,000 grafts were actually implanted. I see some results that appear to have a similar density, with larger coverage areas. I realize this all could just be misguided stress after the procedure, and ideally that’s the case. Here are some pictures Before: Immediately following procedure: Day 4: Link to comment Share on other sites More sharing options...
Regular Member bear56 Posted March 11, 2023 Regular Member Share Posted March 11, 2023 can't see it on the pics but it looks like you had temple work done also. the density is very good. judging just from the pics you have at least 2500 grafts without temple work. Link to comment Share on other sites More sharing options...
Valued Contributor Gatsby Posted March 11, 2023 Valued Contributor Share Posted March 11, 2023 I personally believe that an elite surgeon can eye ball for sure after an in person consultation. 1 GATSBY 'UNPLUGGED!' 15,671 (3 surgeries) Grafts FUE+BHT Dr. Sethi Eugenix Link to comment Share on other sites More sharing options...
Regular Member BackFromTheBrink Posted March 11, 2023 Regular Member Share Posted March 11, 2023 6 hours ago, HappyMan2021 said: Unless you have a limited donor i dont see what the worry is. Doesn't everyone have a limited donor? Given that fact, you would hope an assessment of total capacity would be made to guide the long term plan for each patient over their life. Link to comment Share on other sites More sharing options...
Regular Member Bobby212 Posted March 11, 2023 Author Regular Member Share Posted March 11, 2023 5 hours ago, bear56 said: can't see it on the pics but it looks like you had temple work done also. the density is very good. judging just from the pics you have at least 2500 grafts without temple work. Yep good catch, I had a small amount of temple work. My chart from the doctor says there were 220 grafts at the temples (I assume 120 on each side). It’s been near impossible to estimate a graft count in the temples. The implant sites were not real visible at all once I took bandages off after 2 days. I asked them a few days ago to send me the side view post-op photos but they haven’t responded yet. The photo below is 2 days after surgery, both sides look the same. Link to comment Share on other sites More sharing options...
Senior Member asterix0 Posted March 11, 2023 Senior Member Share Posted March 11, 2023 In the short term, eyeballing can work if you are a low Norwood. However, if you assume every patient will eventually be a high Norwood, and every graft should be used as judiciously as possible, eyeballing is not a reliable method to evaluate the donor. The donor may show different regions that are stronger and weaker, it may be denser in some areas and so if you want to homogenize it as best as possible to allow for the greatest number of grafts to extract, you must precisely plan which areas of the donor have which capacity. Different parts of the donor are better suited for the front, midscalp, and crown. It is no coincidence that the best doctors in the world are meticulous about planning out their surgeries, that involves more than a 2 minute glance at a person's head. See @HugoX as an example. 1 Link to comment Share on other sites More sharing options...
Administrators Melvin- Admin Posted March 11, 2023 Administrators Share Posted March 11, 2023 Definitely looks high density and around 3,000 grafts. But you should be able to get a graft break down. 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: View my thread Topical dutasteride journey Melvin- Managing Publisher and Forum Moderator for the Hair Transplant Network, the Coalition Hair Loss Learning Center, and the Hair Loss Q&A Blog. Follow our Social Media: Facebook, Instagram, Linkedin, and YouTube. Link to comment Share on other sites More sharing options...
Moderators Al - Moderator Posted March 11, 2023 Moderators Share Posted March 11, 2023 If someone has been doing hair transplants every day for 20 years and they are good at it then they should be able to have a pretty good idea of what's required just by looking at you. This sort of applies to just about anything really. If you do something long enough you know what is needed to do the job. Al Forum Moderator (formerly BeHappy) I am a forum moderator for hairrestorationnetwork.com. I am not a Dr. and I do not work for any particular Dr. My opinions are my own and may not reflect the opinions of other moderators or the owner of this site. I am also a hair transplant patient and repair patient. You can view some of my repair journey here. Link to comment Share on other sites More sharing options...
Senior Member stephcurry30 Posted March 11, 2023 Senior Member Share Posted March 11, 2023 This work looks like H&W and this looks somewhere in the range between 2.5k and 3k Link to comment Share on other sites More sharing options...
Senior Member John1991 Posted March 11, 2023 Senior Member Share Posted March 11, 2023 13 hours ago, Gatsby said: I personally believe that an elite surgeon can eye ball for sure after an in person consultation. Within probably 300-500 grafts I agree. 2 Link to comment Share on other sites More sharing options...
Senior Member Hairy Henderson Posted March 12, 2023 Senior Member Share Posted March 12, 2023 Looks like 3k grafts and pretty good work. Who was it? Link to comment Share on other sites More sharing options...
Senior Member Hairy Henderson Posted March 12, 2023 Senior Member Share Posted March 12, 2023 9 hours ago, stephcurry30 said: This work looks like H&W and this looks somewhere in the range between 2.5k and 3k I don’t think it’s Hasson. His hairlines are more “V” shaped and his temples look more rounded. I like this design and would like to know who the surgeon was. Link to comment Share on other sites More sharing options...
Regular Member sunsurfhair Posted March 12, 2023 Regular Member Share Posted March 12, 2023 20 hours ago, asterix0 said: In the short term, eyeballing can work if you are a low Norwood. However, if you assume every patient will eventually be a high Norwood, and every graft should be used as judiciously as possible, eyeballing is not a reliable method to evaluate the donor. The donor may show different regions that are stronger and weaker, it may be denser in some areas and so if you want to homogenize it as best as possible to allow for the greatest number of grafts to extract, you must precisely plan which areas of the donor have which capacity. Different parts of the donor are better suited for the front, midscalp, and crown. It is no coincidence that the best doctors in the world are meticulous about planning out their surgeries, that involves more than a 2 minute glance at a person's head. See @HugoX as an example. I agree with this. This is why I like the utilization of elite skill / knowledge / experience plus the newest tech to help pinpoint and identify further what you’re referencing. Link to comment Share on other sites More sharing options...
Regular Member Bobby212 Posted March 18, 2023 Author Regular Member Share Posted March 18, 2023 On 3/11/2023 at 10:11 PM, Calihome1 said: Looks like 3k grafts and pretty good work. Who was it? Procedure was done by Dr Camacho Link to comment Share on other sites More sharing options...
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