Regular Member magdy Posted June 20, 2023 Regular Member Share Posted June 20, 2023 Hello, one year ago to my misfortune i went to a hair transplant doctor (in which later on i found out he has quite a bad reputation, sadly for me he was recommended for me by one of my friends), below are the photos pre operation and these are photos of the operation and one week to 3 weeks afterwards and finally pictures as of now (12-13 month later) i was told this is 3400-3500 grafts extracted and placed, now i consulted some other doctors and some of them said that was true, others say he extracted and implanted more (4000+) and that it wasnt a good HT, i feel awful specially that i am still 25 year old and now only have around 2000 grafts to be extracted from the scalp before it is completely exhausted, what are your opinions on this, did he butcher my donor and was it a complete failure?, now am looking to get another HT to partially correct the first and add to the crown,i went to a couple of reputable doctors in which they said the following: 1- first one told me he can extract 2000 from scalp, and 500 from beard (will exahust everything), and will put 1600 in the crown and the rest all over the hairline and midscalp. 2- second one told me he can extract 2000-2500 from scalp and leave the beard for future (in case something happens), will put 1000 in the hair line (first 2 cms) and the rest in the crown. 3-third one told me he can extract 1600 from scalp, and either fill the crown or correct the first transplant not both, then a year later if there is any left in the donor he can go to the other area. so do you think i should go for another HT as of now (specially that i am 25 and most probably will exhaust all the donor) or should i maybe go for SMP, and wait for maybe when verteporfin is a viable option in Hair transplant. i am genuinely feeling awful thinking i did myself wrong and let myself being butcherd not doing enough research regarding the first transplant :(. thank you all Link to comment Share on other sites More sharing options...
Regular Member Stewie Posted June 20, 2023 Regular Member Share Posted June 20, 2023 personally having had a similar amount on my first and seeing other patients have similar amounts, it looks right, and looking how your hair is like mine, very fine and big contrast from the skin it all looks right, you donor looks fine and the hair looks like its all grown well tbh, and really if your unhappy maybe think about going back for more density? I have just had my third, had front done like yours but not as packed as it was across a bigger area, then crown and a bit more in mid, and then finally a third where I had all areas addressed which I am hoping is me done, but its up to you and how you feel about it, but looking at it subjectively it looks good and right for the grafts too and implanted 3 4 x HT - 10806 Scalp - 1800 Beard Link to comment Share on other sites More sharing options...
Senior Member Britanium Posted June 20, 2023 Senior Member Share Posted June 20, 2023 For that amount of grafts I think the Dr was obviously too ambitious, the area that needs covering was large. It could have been worse, you do have some growth, maybe not optimal, but it certainly can be improved upon. At a young age I hope you are on a med regime. You still have hair that will be lost unless you introduce one. This time around you need to be choosing some of the elite Drs that can hopefully make every graft count. Who are the guys you have been considering/consulting with? 3 Link to comment Share on other sites More sharing options...
Regular Member Stewie Posted June 20, 2023 Regular Member Share Posted June 20, 2023 personally at 25 if your worried I would keep it how you have it and live with it till your in a stable place with you hair loss now, as you don't know what you dealing with long term, I didn't do my first till 43 and I really would of loved one as young as you are 1 4 x HT - 10806 Scalp - 1800 Beard Link to comment Share on other sites More sharing options...
Regular Member magdy Posted June 20, 2023 Author Regular Member Share Posted June 20, 2023 56 minutes ago, Stewie said: personally having had a similar amount on my first and seeing other patients have similar amounts, it looks right, and looking how your hair is like mine, very fine and big contrast from the skin it all looks right, you donor looks fine and the hair looks like its all grown well tbh, and really if your unhappy maybe think about going back for more density? I have just had my third, had front done like yours but not as packed as it was across a bigger area, then crown and a bit more in mid, and then finally a third where I had all areas addressed which I am hoping is me done, but its up to you and how you feel about it, but looking at it subjectively it looks good and right for the grafts too and implanted thank you, i was not feeling it is way off at first, till other doctors pointed it out, do you think i should go for another one for now and get done with it (a bit in the hjair line and some in the crown) or should i wait and do smp (although it would look bad in the crown as there are virtually no hairs there as of now). i am just worried that later on in life the sides would recede and i get that "hair island" look while having no donor to do anything more. Link to comment Share on other sites More sharing options...
Regular Member magdy Posted June 20, 2023 Author Regular Member Share Posted June 20, 2023 59 minutes ago, BRITA-XL said: For that amount of grafts I think the Dr was obviously too ambitious, the area that needs covering was large. It could have been worse, you do have some growth, maybe not optimal, but it certainly can be improved upon. At a young age I hope you are on a med regime. You still have hair that will be lost unless you introduce one. This time around you need to be choosing some of the elite Drs that can hopefully make every graft count. Who are the guys you have been considering/consulting with? thank you for the reply :), yeah seems definetly the case, i am on topical minoxidil and biotin and some derma rolling here and there as of now (really considered minoxidil but egyptian males do not have the strongest sperm count and fertility so the side effects of it is way more common), and i am still 25 so i thought i would rather have kids in the future :D. i dont know if i can post facebook links in this forum of the three clinics i am visiting as of now but they are the best here in egypt based on all egyptian forums and reviews (which approach of the three doctors you think is best), also do you think i should wait for the HT (maybe the verteporfin might actually pull it off), or just go with it and be done with this dilemma? Link to comment Share on other sites More sharing options...
Regular Member magdy Posted June 20, 2023 Author Regular Member Share Posted June 20, 2023 yeah the thing is here in egypt it is very affordable (even more than turkey), top notch doctors would probably charge you 500-600 dollars for 3000-5000 grafts operation. thats why i had mine at early age, sadly both my family sides are bald, i think the baldness is kinda complete in my case no? the only thing worrying me is the sides receding downwards 1 Link to comment Share on other sites More sharing options...
Senior Member Britanium Posted June 21, 2023 Senior Member Share Posted June 21, 2023 1 hour ago, magdy said: thank you for the reply :), yeah seems definetly the case, i am on topical minoxidil and biotin and some derma rolling here and there as of now (really considered minoxidil but egyptian males do not have the strongest sperm count and fertility so the side effects of it is way more common), and i am still 25 so i thought i would rather have kids in the future :D. i dont know if i can post facebook links in this forum of the three clinics i am visiting as of now but they are the best here in egypt based on all egyptian forums and reviews (which approach of the three doctors you think is best), also do you think i should wait for the HT (maybe the verteporfin might actually pull it off), or just go with it and be done with this dilemma? Problem is knowing if these Drs are really that good or not. You can mention these Drs names and the clinics, just not by way of a direct link. you're stuck between a rock and a hard place now, one transplant in and without Fin you will be chasing the loss. Of course it’s possible that Verteporfin maybe beneficial in the future, but it’s early days. Some are ok on a low dose of Fin, but yeah of course if you have particular concerns I can understand it may not be a option. The cost may be cheaper where you are, but you simply cannot take any chances on getting the next inevitable transplant right. I don’t have experience on any Egyptian Drs/Clinics, but am Interested to take a look and then give some feedback. 1 Link to comment Share on other sites More sharing options...
Valued Contributor Gatsby Posted June 21, 2023 Valued Contributor Share Posted June 21, 2023 To be honest I would do nothing at all in the way of surgery. I'm not a doctor but I would definitely consider taking oral minoxidil and you really need to be on finasteride to be honest. If you have another surgery now you run the real risk of jumping out of the pan and into the fire. I would take a year off thinking about surgery and start to do some research on this forum and try and educate yourself on hair transplants and hair loss in general. There is also topical finasteride, etc. All the best. 1 GATSBY 'UNPLUGGED!' 15,671 (3 surgeries) Grafts FUE+BHT Dr. Sethi Eugenix Link to comment Share on other sites More sharing options...
Senior Member Z-- Posted June 21, 2023 Senior Member Share Posted June 21, 2023 25 is really young man. I'd wait to see your final pattern given that you have aggressive hairloss. Otherwise, consult with Zarev - if there's any doctor who can fix this, it's him. Pitella and Eugenix are fine with these types of cases as well. 1 Link to comment Share on other sites More sharing options...
Administrators Melvin- Admin Posted June 21, 2023 Administrators Share Posted June 21, 2023 Are you on medication? Given your proximity, definitely consult with Dr. Barghouthi in Jordan. He’s ethical and will tell you the best way forward.https://hairtransplantnetwork.com/dr-taleb-barghouthi 1 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 kiwik Posted June 21, 2023 Regular Member Share Posted June 21, 2023 To be honest, you seem to have got good growth from these 3500 grafts. Your surgeon just got waaaay too ambitious with the hairline: bad planning, but not so bad execution. 1 Link to comment Share on other sites More sharing options...
Valued Contributor A_4_Archan Posted June 21, 2023 Valued Contributor Share Posted June 21, 2023 (edited) Imo you should not do anythng at the moment other than non surgical treatment ....consult a good doctor and get on proper medication ....i can understand you are just 25 and you need to think about having kids at some point but your doctor can set up some specific micro dose for you which you can tolerate and will help you stabilise your hairloss..you can give it a try after consulting a good doctor...even many doctors are doing dutasteride mesotherapy which is working on some patients....and for smp you have to find a good smp artist and ask him/her about what they can do in your present situation and see if they did spm on similar case as yours...i forgot the name but here on forum there are 1 or 2 good smp artist you can connect with and ask for their opinions....till than you can use hair fibres Let evrythng get stabilise first and than think of the surgery and i think your donor is looking sparse and scattered (though pics can be deceptive and can't be relied upon) ...so now whenever you go for a ht look for a surgeon who manage donor pretty well...and don't worry everything can be sorted out but it takes time and patience ..so don't get too anxious now and go slowly and wisely ..you already made one mistake by rushing into the surgery at such a young age so you don't need to make such mistake again...consult a good experienced and ethical surgeon and make a long term plan... Edited June 21, 2023 by A_4_Archan 2 Check Out My Hair Transplant Journey --> My Thread 3611 FUE Grafts With Dr Kongkiat Laorwong | Norwood 5 | 2nd May 2023 Link to comment Share on other sites More sharing options...
Senior Member BaldReaper Posted June 21, 2023 Senior Member Share Posted June 21, 2023 you covered a big area that was completely bald and you are posting pictures directly under harsh light, it is definitely not a failed result, if I were you I would go for another round to add density and cover the crown, also medication is important to preserve your native hair. 1 Link to comment Share on other sites More sharing options...
Regular Member magdy Posted June 21, 2023 Author Regular Member Share Posted June 21, 2023 12 hours ago, BRITA-XL said: Problem is knowing if these Drs are really that good or not. You can mention these Drs names and the clinics, just not by way of a direct link. you're stuck between a rock and a hard place now, one transplant in and without Fin you will be chasing the loss. Of course it’s possible that Verteporfin maybe beneficial in the future, but it’s early days. Some are ok on a low dose of Fin, but yeah of course if you have particular concerns I can understand it may not be a option. The cost may be cheaper where you are, but you simply cannot take any chances on getting the next inevitable transplant right. I don’t have experience on any Egyptian Drs/Clinics, but am Interested to take a look and then give some feedback. i am trying to send you a PM of the top clinics here but it wont let me (probably because i am still new here), i am actually really eager to try oral minoxidil but unfortunately it is banned here in egypt due to some cases of severe low blood pressure. i discussed fin with multiple doctors they all told me that they monitored patients tests and what not while they were on it and it did some trouble (because of the ethnicity, not that fin's side effects are that common). I am strongly considering SMP after this thread instead of going for a second transplant, but i am worried it would look unnatural in the crown as the crown doesnt have hairs already, what do you think? Link to comment Share on other sites More sharing options...
Regular Member magdy Posted June 21, 2023 Author Regular Member Share Posted June 21, 2023 12 hours ago, Gatsby said: To be honest I would do nothing at all in the way of surgery. I'm not a doctor but I would definitely consider taking oral minoxidil and you really need to be on finasteride to be honest. If you have another surgery now you run the real risk of jumping out of the pan and into the fire. I would take a year off thinking about surgery and start to do some research on this forum and try and educate yourself on hair transplants and hair loss in general. There is also topical finasteride, etc. All the best. Hello gatsby i was following your journey throughly :), i am actually really eager to try oral minoxidil but unfortunately it is banned here in egypt due to some cases of severe low blood pressure. i discussed fin with multiple doctors they all told me that they monitored patients tests and what not while they were on it and it did some trouble (because of the ethnicity, here in egypt, not that fin's side effects are that common). i might just do that and stick to SMP for a year or two and see if the sides recede in my hair, do you think minox is alone is suffiecient in keeping the transplanter hairs or are they in risk of thinging out and falling? Link to comment Share on other sites More sharing options...
Senior Member Britanium Posted June 21, 2023 Senior Member Share Posted June 21, 2023 36 minutes ago, magdy said: i am trying to send you a PM of the top clinics here but it wont let me (probably because i am still new here), i am actually really eager to try oral minoxidil but unfortunately it is banned here in egypt due to some cases of severe low blood pressure. i discussed fin with multiple doctors they all told me that they monitored patients tests and what not while they were on it and it did some trouble (because of the ethnicity, not that fin's side effects are that common). I am strongly considering SMP after this thread instead of going for a second transplant, but i am worried it would look unnatural in the crown as the crown doesnt have hairs already, what do you think? Yeah 10 posts are needed, but I can and will PM you. 👍🏽 Link to comment Share on other sites More sharing options...
Regular Member magdy Posted June 22, 2023 Author Regular Member Share Posted June 22, 2023 On 6/21/2023 at 6:19 AM, Z-- said: 25 is really young man. I'd wait to see your final pattern given that you have aggressive hairloss. Otherwise, consult with Zarev - if there's any doctor who can fix this, it's him. Pitella and Eugenix are fine with these types of cases as well. it wouldnt let me comment yesterday 😅, yeah i actually sarted losing hair when i was like 19. since almost all the frint, mid, crown were all gone. do you mean by final pattern is whether the sides will start to recede as well? , zarev is a dream surely, but i dont think i would ever be able to afford that sadly Link to comment Share on other sites More sharing options...
Regular Member magdy Posted June 22, 2023 Author Regular Member Share Posted June 22, 2023 On 6/21/2023 at 6:55 AM, Melvin- Moderator said: Are you on medication? Given your proximity, definitely consult with Dr. Barghouthi in Jordan. He’s ethical and will tell you the best way forward.https://hairtransplantnetwork.com/dr-taleb-barghouthi The man, the myth, the legend. I always refer to your videos on hair loss subjects and and try to share among the egyptian groups and communities ❤️, currently i am only on foam minoxidil once a day, biotin, and some other hair strengthining sprays (vinchy decros and seropipe). i would love to try oral minoxidil but its banned here in egypt due to some cases of severe blood pressure drop sadly. i discussed fin with multiple doctors they all told me that they monitored patients tests and what not while they were on it and it did some trouble (because of the ethnicity, not that fin's side effects are that common), i will definetly contact Dr. Barghoutti . actually there is one of the doctor that i visited last week (he is the definetly the best or the second best here in egypt) that was very interested in verteporfin and made videos about it that he is monitoring the studies closely (i can communicate you with him if that would benefit the research). as per the suggestions of the members here i might hold off surgery for a year and do SMP. either that or do the hairline and crown with 2000-2500 grafts but that will exhaust all the donor, what do you think?. keep doing god's work mevin ❤️ Link to comment Share on other sites More sharing options...
Regular Member magdy Posted June 22, 2023 Author Regular Member Share Posted June 22, 2023 On 6/21/2023 at 8:39 AM, kiwik said: To be honest, you seem to have got good growth from these 3500 grafts. Your surgeon just got waaaay too ambitious with the hairline: bad planning, but not so bad execution. yeah, my fear is that he lied about using only 3400-3500 grafts, i have had one doctor tell me that what is implanted here is more thatn 4k-4500 grafts. but if i denisfy the hairline and crown ill be actually really happy about it since i was norwood 6-7, but am starting to feel worried about that since members are telling me to hold off and see what happens in the future, you think the transplanted hair might eventually thin out and fall if am only on minoxidil? Link to comment Share on other sites More sharing options...
Regular Member magdy Posted June 22, 2023 Author Regular Member Share Posted June 22, 2023 On 6/21/2023 at 9:35 AM, A_4_Archan said: Imo you should not do anythng at the moment other than non surgical treatment ....consult a good doctor and get on proper medication ....i can understand you are just 25 and you need to think about having kids at some point but your doctor can set up some specific micro dose for you which you can tolerate and will help you stabilise your hairloss..you can give it a try after consulting a good doctor...even many doctors are doing dutasteride mesotherapy which is working on some patients....and for smp you have to find a good smp artist and ask him/her about what they can do in your present situation and see if they did spm on similar case as yours...i forgot the name but here on forum there are 1 or 2 good smp artist you can connect with and ask for their opinions....till than you can use hair fibres Let evrythng get stabilise first and than think of the surgery and i think your donor is looking sparse and scattered (though pics can be deceptive and can't be relied upon) ...so now whenever you go for a ht look for a surgeon who manage donor pretty well...and don't worry everything can be sorted out but it takes time and patience ..so don't get too anxious now and go slowly and wisely ..you already made one mistake by rushing into the surgery at such a young age so you don't need to make such mistake again...consult a good experienced and ethical surgeon and make a long term plan... thank you for the detailed answer. honestly i am feeling way confident as of now than before the transplant and i kinda needed at this stage of my life (24-30). but yeah the next transplant is probably the last one since i will exahust all the donor so i might follow the advice and wait. do you think the transplanted hairs might fall off eventually if i am only on minoxidil? and since i was norwood 6-7, by waiting for the loss to stabilize do you mean the side receding or do you mean wherthe the implanted hairs will thin out also or not?. i will definetly make a post on the SMP section to see whether am a good candidate for that or not. and for the donor i was told by 4 doctors it currectly has around 12000 grafts and our of those we can extract 2000-2500 at max Link to comment Share on other sites More sharing options...
Regular Member magdy Posted June 22, 2023 Author Regular Member Share Posted June 22, 2023 On 6/21/2023 at 4:50 PM, BaldV said: you covered a big area that was completely bald and you are posting pictures directly under harsh light, it is definitely not a failed result, if I were you I would go for another round to add density and cover the crown, also medication is important to preserve your native hair. yeah i was not awfully sad about till other doctors mentioned it, and one of them told me he probably extracted more than the 3500 probably like 4500, then i got a bit anxious. if i desify the hairline and do the crown i would be so happy with it, but i think i will wait a bit per other members recommendations, as this is definetly my last HT since there are 2000-2500 left in the scalp donor that can be extracted. i dont think i have any native hair on the front mid or crown anymore its all transplanted (can it still fall off if i am only on minoxidil?), if not i dont see the sides receding till i am 40 or sth Link to comment Share on other sites More sharing options...
Valued Contributor A_4_Archan Posted June 23, 2023 Valued Contributor Share Posted June 23, 2023 (edited) 21 hours ago, magdy said: thank you for the detailed answer. honestly i am feeling way confident as of now than before the transplant and i kinda needed at this stage of my life (24-30). but yeah the next transplant is probably the last one since i will exahust all the donor so i might follow the advice and wait. do you think the transplanted hairs might fall off eventually if i am only on minoxidil? and since i was norwood 6-7, by waiting for the loss to stabilize do you mean the side receding or do you mean wherthe the implanted hairs will thin out also or not?. i will definetly make a post on the SMP section to see whether am a good candidate for that or not. and for the donor i was told by 4 doctors it currectly has around 12000 grafts and our of those we can extract 2000-2500 at max If you have 12000 grafts thn i guess a surgeon can take out more than 3k depending on surgeon's skills...plus you can use your beard grafts.... If hairs are taken out from the safe zone than they are less likely to fall off as they are more dht resistant.... Yeh actually you are still very young but yeh there would be one more argument to your situation that you already lost evrything(hairs) which you have to loose other then some hairs...so you don't have too much left to loose now other than your transplanted hairs and as i said there is a less chance of that so now its a tricky situation you are in and you may take advice of well experienced ethical surgeon regarding what to do... Edited June 23, 2023 by A_4_Archan Check Out My Hair Transplant Journey --> My Thread 3611 FUE Grafts With Dr Kongkiat Laorwong | Norwood 5 | 2nd May 2023 Link to comment Share on other sites More sharing options...
Senior Member mr_peanutbutter Posted June 23, 2023 Senior Member Share Posted June 23, 2023 why dont you use beardhair for second procedure? Link to comment Share on other sites More sharing options...
Senior Member Britanium Posted June 23, 2023 Senior Member Share Posted June 23, 2023 On 6/21/2023 at 4:55 AM, Melvin- Moderator said: Are you on medication? Given your proximity, definitely consult with Dr. Barghouthi in Jordan. He’s ethical and will tell you the best way forward.https://hairtransplantnetwork.com/dr-taleb-barghouthi +1 👍🏽 Link to comment Share on other sites More sharing options...
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