Have a 4000 graft surgery booked with Dr Pathomvanich all in one day, should I be concerned?

[MyKindaMoves]

I'm a 30 year old male living in Vietnam (just a 2 hour flight to Bangkok). Last year while visiting family in Europe I went to BHR clinic and got a consultation with Dr Bisanga. As attached below BHR said I was not a grade candidate and put me on oral minoxidil and said to come back next year for another consultation. That was my original plan however after further dialogue with BHR I found out that even if I was a good candidate I would have to wait another 4 months for my surgery which doesn't make sense for my situation working and living in Asia, the cost of flights plus my fear of long flights made look elsewhere. 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

After some research I came across Dr Pathomvanich at DHR clinic in Bangkok. His reputation on this wonderful forum seems excellent and his before and after pictures are exceptional. I got the closest appointment I could and paid the deposit. Since then after browsing these forums I have 2 slight concerns.

1) DHT Clinic never once asked me about what medication I'm on or have taken in terms of hair restoration. It seems this is a pretty standard practice, should I be concerned over this?

2) They would like to perform the roughly 4000 graft surgery all in one day. Once again, my understand from browsing these forums is that it's better to break the surgeries up into 2 days. Should this also be a concern? I suppose writing this now I've realised I should email DHR directly and ask them if this could be considered however it would be great to hear some opinions from the minds of HRN too. 

Below I've attached an email from DHR and their recommendation for me and also pictures of my current hair. If you've got this far and read my post I'm very grateful, thankyou.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

[mr_peanutbutter]

how is oral minox working for you?

[Gatsby]

There is nothing more accurate than an in person consultation. DHR from looking at your photos say you have a good donor on the back and sides. BHR say you have a low quality donor with signs of high miniaturization in the donor. If you look hard enough you will eventually find a doctor who will say yes. I would try medication before surgery for 12 months and go with BHR's advice. You could even include finasteride (I'm not a doctor) to improve your donor even more. Remember whatever the results are they will be with you for life. Wishing you all the best.

[MyKindaMoves]

On 5/6/2023 at 4:12 PM, mr_peanutbutter said:

how is oral minox working for you?

Below are pics from almost exactly a year ago. I think the donor areas looks thicker but perhaps am I being bias? 

 

 

22 hours ago, Gatsby said:

There is nothing more accurate than an in person consultation. DHR from looking at your photos say you have a good donor on the back and sides. BHR say you have a low quality donor with signs of high miniaturization in the donor. If you look hard enough you will eventually find a doctor who will say yes. I would try medication before surgery for 12 months and go with BHR's advice. You could even include finasteride (I'm not a doctor) to improve your donor even more. Remember whatever the results are they will be with you for life. Wishing you all the best.

'Remember whatever the results are they will be with you for life'  - This line hit me hard and has certainly made me reconsider things. Here's my logic for going with DHR - If I go back to BHR and they tell me after a year on oral minoxidil I'm now a good candidate then I'm sure they could provide me a great HT. In that case then I would still get just as good or even better HT at DHR who also have an amazing reputation on these forums. If however I returned to BHR and they told me I'm not a good candidate well I would feel I've exhausted all options and would still risk a hair transplant anyway, should the grafts fall out and the transplant be a failure I would just shave all my hair off and put up  with whatever small scars I have from the donor areas. I've tried topical minoxidil and dermarolling for many years, oral minoxidil was the last option for me. I would never try finasteride due to reading about the horrific side effects many people experience. 

[mr_peanutbutter]

get a 3rd opinion. id choose eugenix bc they are not so far from you (india) and also specialised in high norwoods with often poor donor

[MyKindaMoves]

On 5/7/2023 at 9:23 PM, mr_peanutbutter said:

get a 3rd opinion. id choose eugenix bc they are not so far from you (india) and also specialised in high norwoods with often poor donor

What norwood would you say I am? I did actually email eugenix and the say I was 3

[mr_peanutbutter]

57 minutes ago, MyKindaMoves said:

What norwood would you say I am? I did actually email eugenix and the say I was 3

you are 3 right now but without medical invention you are heading to norwood 6