2nd HT Surgeons recomendations dr couto dr konior or dr nadimi. From mini graft 1st transplant

[Yoni]

Hello everyone, I've had a fort lauderdale mini graft transplant sadly I didn't research much until after.Supposedly 10,000 hairs 😅 we all know thats not true didn't even get a count of the grafts from them. Mayne someone here can let me know how many grafts or hairs give or take i think maybe 2500 3000 hairs less than 1000 grafts but who knows.

So I've been lurking here since 2020 2021. Looking at patient results and now looking into maybe getting help on finding best surgeon base on my mistake of going there.

Had consultation with Dr Konior in person was hoping to get FUT since i have the scar already or get more grafts coverage.

Said was best for FUE Quoted 2000 grafts hairline restoration. IDK how far would that get me if someone can line it on a picture. And I've seen great coverage from them with those number of grafts on bare bald areas as to me helps to have a base of w.e hairs are there I suppose?

Got a in person consultation with Dr Nadimi. Emailed her Dec 2022 sometime with pictures and said might need to build out density with small procedures due to thin looking donor. I've searched but didn't see anyone getting density small procedures on here and I'm guessing small procedures will be 1500 grafts give or take I will find out once I meet her in person. Also did say I might need to use beard body hair from pictures on future procedures which I don't mind at all.

I've seen Dr couto results and I feel maybe overseas might be my best bet for me or will Chicago clinic institute get me good density illusion I've seen not many cases from there with my type of loss usually only see hairline restoration with patients having great hair behind the hairline or receding hairlines please chime in if any patients results.

I'm not looking to waste grafts on the crown mostly frontal and midscalp if possible for best density illusion due to having fine fine maybe thin hair.

 

I will picture dump pictures from post op. Pre op growing in phases 1 2 years and recent to get judged on here and hopefully get some good help from you guys as I've seen maybe post before and then going through with recommended surgeons.

 

Couto freitas and Europe doctors I have no idea how to reach them. I've message them on Instagram but no respond in both English and Spanish. Has been like a month no respond. Though since in in the Chicago area I felt it would be best staying with Chicago hair clinic.

I can comb it left right down back 

I've been on minoxidil foam for 2 years 1 time a day maybe bit more and now on 3 month minoxidil liquid 3 months my crown and w.e hair I had seem to get thicker and still shedding where I see some thinner hairs compare to thicker hairs when I apply it hairs fall or stick to fingers.

Dr konior said they would prescribe me Oral Minoxidol from office. From users what should I get 2.5mg or 5mg? I've heard people get great donor area thickness some takers so I see why not try it if it helps me out some or not.

I Use finasteride generic  1mg dayli since 2019 2020 and current I have no idea if it's help.

Hope the pictures are in order I'm new here.

Sorry in advance I'm not good with write ups. And might be all over the place with this post and questions on things I might of not covered?

Some pictures might not be clear sorry.

Also I have shorter hair from the scar down like a 1-2 guard in some pictures cut my own hair and not good at it lol Either way I live under the hat 24/7.

I sleep and wake up with the hat. I'm trying to get to a confident level of showcasing some hair or not to stay living under hats 

 

 

Edited October 7, 2023 by Yoni

[jjalay]

Did you go to naturaltransplants in florida for the first surgery? This is awful work man, straight up butchery. In the last picture you have shown is this the donor area at the back after or before the first surgery? At the sides of your head you seem to have retrograde alopecia but cant judge the back of your head. Can you share more pictures showing the donor area?

From your first surgery i would say something between 500-800 grafts survived. But the size of the scar is relly bis, goes all the way to the sides of your head. With such a big strip you should be able to harvest at least 4000 grafts minimum. Konior and Nadimi are both top doctors but the question is are you a candidate for another fut or not? If the elastisity of your skin is not there anymore then probably not and in this case you should proceed with fue and bodyhair to restore the hairline and midscalp.

Once again this result from the first surgery is somethins from the 90s. Please share the name of the clinic.

Edited October 7, 2023 by jjalay

[jjalay]

Just saw your last post, you were indeed by this clinic in florida. This needs to be called out.

[Yoni]

53 minutes ago, jjalay said:

Did you go to naturaltransplants in florida for the first surgery? This is awful work man, straight up butchery. In the last picture you have shown is this the donor area at the back after or before the first surgery? At the sides of your head you seem to have retrograde alopecia but cant judge the back of your head. Can you share more pictures showing the donor area?

From your first surgery i would say something between 500-800 grafts survived. But the size of the scar is relly bis, goes all the way to the sides of your head. With such a big strip you should be able to harvest at least 4000 grafts minimum. Konior and Nadimi are both top doctors but the question is are you a candidate for another fut or not? If the elastisity of your skin is not there anymore then probably not and in this case you should proceed with fue and bodyhair to restore the hairline and midscalp.

Once again this result from the first surgery is somethins from the 90s. Please share the name of the clinic.

On 3/31/2023 at 6:23 PM, Melvin- Admin said:

Follicular unit transplantation uses follicular units. They do not harvest follicular units. They use minigrafts. 

No and yes on the clinic...

meaning Dr Bolton Great Hair Transplants after i got it done ive came across here and found out how bad he was and yes to might of been natural hair transplants since ive read somewhere on here that huebee or w.e dr came from dr boltons so they both offer by hair one uses Max Harvest 6000 hairs per surgery and 1000 more hairs for each 1000$ or 1 dollar a hair for 1 dollar. Or max harvest plus for up to 12,000 hairs. natural transplants advertises the same once i found out i search them hue or hue plus. I called them out one reviwer on the google reviews Jim Cos comented on also paying for 12000 hairs and asking for 2k hairs on the hairline but only seeing like 50 and the rest no hairs same as me. So i reached out they talking about doing another basicly free but i will just waste on hair grafts they don't break them down good or he doesn't implant them either no magnification all by eye.

Dr k said yes elasticity is there on person but. My donor is weak is better to hand pick via fue the best hairs and also im greying now he said if is fut makes no sence since from a strip he can get good hairs and not good hairs he showed me hes hand and  fingers saying i can have many thumbs and many pinkys on the strip we want all thumbs and with fue i can get u all thumbs something in those lines

My Donor area is after on last picture its weird with my hair being so fine at that point is between 2 3 inches long or so and it will seems like good donor but if I trim as other pictures number 1 2 or 3 seems weak alot of scalp shows he mention i have very fine hair.

yes my sides seems weaker than my back and I use the hat alot as I mention past 8 10 years 24/7 always hugging the sides more than the back usually seems compressed i after a shower might seeem better but i cut my hair now so i will have to let it grow to take pictures with donor longer .

my hair is short on donor number 2 3 NOW  but I will take some more pictures NOW if that would help should they be with flash or what is best way to see?

 

Yes sadly for me ive learned about this technique being bad and I didn't know how the grafts should had been distributed or dr involvement throught out the whole surgery like dr k and dr n.

And now I'm here looking to get the most i can get up there 

 

 

[Yoni]

3 hours ago, jjalay said:

Just saw your last post, you were indeed by this clinic in florida. This needs to be called out.

No different clinic I posted my reply and clinic name and dr but I think it's flag something about . HIDDEN This content must be approved  before it can be edited. Maybe I did something wrong while posting .

But it is a clinic that from my research I think the main dr on natural hair transplants came out of that facility so someone on here had posted upon searching the clinics and drs.

Edited October 8, 2023 by Yoni

[harryforreal]

The primary issue is lack of density.  

6000 + 6000?  12,000 total in one session?  I don't see it.  I don't even see 12,000 incisions (ok, I didn't count everyone one, but if I did I would be very surprised if it equaled 12,000).

 

If I saw you walking down the street I don't think I would think 'hair transplant".  I would just assume you're an aging man with extensive hair loss.

 

Of course when you get upclose there are always tells - like the bumpy texture of the scalp from the "12,000" incisions/scaring after the transplant.  

 

Konior is a top doc; Dr. Cooley as well.

 

 

[Yoni]

1 hour ago, harryforreal said:

The primary issue is lack of density.  

6000 + 6000?  12,000 total in one session?  I don't see it.  I don't even see 12,000 incisions (ok, I didn't count everyone one, but if I did I would be very surprised if it equaled 12,000).

 

If I saw you walking down the street I don't think I would think 'hair transplant".  I would just assume you're an aging man with extensive hair loss.

 

Of course when you get upclose there are always tells - like the bumpy texture of the scalp from the "12,000" incisions/scaring after the transplant.  

 

Konior is a top doc; Dr. Cooley as well.

 

 

Not 12,000 grafts supposedly 12000 hairs but yes one mentioned I should had 4000 grafts minimum but I don't see not even 1000 grafts maybe im wrong. Yes there is the lines incisions do show up close many of those nail like incisions.

And you are correct dr konior said the dr didn't do bad thin scar but also mentioned he should of done it higher and that just looks like I'm thinning from balding up there base on the minis and I said they can do a free FUT would I benefit if I do it and then come to you he said anything you put up there will make it thicker yes but you won't get good results.

Also if you look Close many incisions didn't get grafts in them once I reached out next day saw many gaps and empty incisions so they just said the dr makes an approximation blah blah blah so what happen to the 12,000 hairs. 

Yes they are very close to me 40 45 min drive konior nadimi is my top choice but konior said 2000 grafts hairline I don't know how much back he would get me front to where.

Nadimi waiting on in person appointment.

How do I find dr cooley where is he located I'm about to search him on here for results thanks.

Edited October 8, 2023 by Yoni

[harryforreal]

"Yes they are very close to me 40 45 min drive konior nadimi is my top choice " 

 

I wish I lived that close to Konior.  Been wanting to visit him for a couple years, but he lives in the opposite direction of my travels.

 

How many grafts did Dr. Konior recommend? 

 

I know it's disappointing to have already gone through 1 procedure expecting to be done and sporting your new hair walking down the street only to realize the aesthetic result is nowhere near what you anticipated.  But the good news is that the result isn't a botch job that needs extensive repairing; we've all seen horrible, shocking total botch jobs on this site.  

 

It just needs added density - in the hands of a good surgeon.

 

Dr. Cooley is in Charlotte, North Carolina.

[Yoni]

3 hours ago, harryforreal said:

"Yes they are very close to me 40 45 min drive konior nadimi is my top choice " 

 

I wish I lived that close to Konior.  Been wanting to visit him for a couple years, but he lives in the opposite direction of my travels.

 

How many grafts did Dr. Konior recommend? 

 

I know it's disappointing to have already gone through 1 procedure expecting to be done and sporting your new hair walking down the street only to realize the aesthetic result is nowhere near what you anticipated.  But the good news is that the result isn't a botch job that needs extensive repairing; we've all seen horrible, shocking total botch jobs on this site.  

 

It just needs added density - in the hands of a good surgeon.

 

Dr. Cooley is in Charlotte, North Carolina.

He recommended 2000 FUE Grafts for the hairline restoration. I did brought up a male Asian 2000 graft patient from here to him it looks like my results and looks like the grafts were spread as far back as mine were but since I got hair up there now I wonder if I will benifit from that spread if he did that with me but he kept saying is best to dense pack the hairline. also saw a Google recent review to Dr k clinic after paying for my consultation. Someone about a 950 grafts or so hairline patient  reviewer mentioned he had to get all the work removed due to bad angulation had me a bit worried too so I brought it up to him.

I also asked how far back will I get with the 2000 grafts he said I can spread them back as you want but density won't be there is best to dense pack the hairline. I'm really looking into frontal restoration or some in the midscalp nothing on the crown to try and not waste grafts on there as ideally I feel the front having the most density makes us feel better about how we see ourselves IMO.

You are correct it's very discouraging for me seeing many good results and going into a transplant and not having what anticipated. Going in i felt I would need 2 fut for sure. I dont know if I'm a Norwood 5 6 not too familiar with NW scale. But I figured one procedure should of been good enough to atleat feel optimistic of having a better result I can show and later add density or fine tune spots that might need touch up like many patients with my type of hair loss. specially with 12k hairs I was supposed to get up there I feel it should had been gold standard results no? but I was wrong due to a bad surgeon which is why I want to make as many consultations and hear what every dr thinks is my best outcome moving forward. My bad choice has me thinking if I pay dr k what if my outcome isn't that great again or any other dr arround doing my HT. dr k did say any dr can hit 100 home runs and even on the best surgeon hands depending on the donor zone  will never achieve perfection or full head of hair. I'm not looking for best hair out there but something that will seem like I have good hair to show case or illusion of good density just stop living under the hat. So many family events weddings, gatherings in and out of state and in always formal with a hat on or regular gatherings my kids bday party's ect glued to a hat on.

 

That's how I feel I just need good density on the hands of a good surgeon I think the male Asian patient I'm referring to was bare bald on the top as to me I have sort of like a base up there now that just needs all the empty spots filled in maybe im wrong. But I know dr k or dr n might give me great frontal results base on what I've seen they give great coverage on patients with no hairlines or receding hairlines the most. I just never seen patients from them as far back as me getting restored usually is patients with great hair just no hairlines or minimal hairline restoration. But they are my 1 top choice right now as I mention I live in the Same area as the clinic but due to my paranoid first transplant result I wouldn't mind going internationally if can get even further back coverage or results. Also dr KS hairlines seems too good to me something I want but what limits me is I don't how how much coverage 2000 fue grafts will do for me with just hairline restoration I'm also not familiar with where the hairline restoration will be for me or where my  frontal zone or frontal 3rd is for my head where midscalp begins and ends or crown ends or starts .

 

My crown and hair I had remaining from post op has improved very well mostly my crown but I don't know of it's from Finasteride or from Minoxidil since using both in combination. Dr k said I can get on Oral minoxidil since it has a better penetration to hair than liquid sometimes having trouble not penetrating the scalp on some men also the pill might help the donor area in some cases. Maybe someone that did the switch can elaborate should I get on Oral Minoxdil if so 2.5 or 5mg would be appreciated if anyone can tell me about the switch and results from the pill rather than liquid or foam form minoxidil. 

[Yoni]

19 hours ago, jjalay said:

At the sides of your head you seem to have retrograde alopecia but cant judge the back of your head. Can you share more pictures showing the donor area?

I've took some as I mentioned I cut my hair down this is from today number 8 guard on the cutting machine says 1 inch top and top sides. From above line and down is number 3 guard I think is 10 or 6mm length.

Some pictures are with under harsh light and flash other regular I'm not the best barber u can tell left some areas longer or uncut I will re add pictures I will cut all top and sides to 1 inch to show the sides but I do notice where the sutures went on my left side like fue large punch holes more so under the strip scar up close with short hair or long hair but when is at 1 inch it looks more dence my donor zone sides and back as you've seen from my first post last picture. I'm  greying more now so usually like my sides cut at 1-2 guard even sometimes at zero since I always wear the hat of course.

Also looks like my top is al grey on the poctures with flash but is not that grey weird on my end camera but on the back of the line I will try and get pictures of this some hairs do grow in where the scar line is in some areas of behind ears as well I wish it was like that on the sides as well. I've added one picture from 3 months in of the back scar zoom in u can see hairs coming in from the scar. Also now my scar seems thinner than when it was healing was very red pink and seem wider sided and back so idk that's weird I do gain weight and loose weight alot I don't think that's what it is though.

 

Dr k did say my donor seems weak in person though some areas more than other which is why recommendation is to go via FUE rather than another FUT since I kept asking If he can do fut same line or new line or combination of fut and fue but insist on fue.

 

Donor Area picture dump.

Last ones are under bathroom light with flash on some no flash on some.

 

Edited October 8, 2023 by Yoni

[1978matt]

The FUT area looks weak so no point risking a worse scar for a strip that would not yield a decent number of grafts.  While it is still a thin line you have an option to fill it in with beard hairs.

I guess he would tackle the front 3rd and aim to get as close to the apex of your head.  At least then the front looks better and you can style it backwards/diagonally to cover weak areas.

[Yoni]

57 minutes ago, 1978matt said:

The FUT area looks weak so no point risking a worse scar for a strip that would not yield a decent number of grafts.  While it is still a thin line you have an option to fill it in with beard hairs.

I guess he would tackle the front 3rd and aim to get as close to the apex of your head.  At least then the front looks better and you can style it backwards/diagonally to cover weak areas.

Thanks for the post my friend. That's what dr konior mentioned something about having good hairs and weak hairs so fut wouldn't yield the most best hairs as fue he can hand pick the best hairs. I was really pushing into fut I kept saying what if get a new line above it but fue it is.

I do want to fill the line was thinking either beard hairs or smp since I like my sides and back shorter rather than longer.

Also he did mentioned that I had my hair down as it looks fuller but with my hands I spiked it up to show him more of the empty spots and he said that style suits you I can restore your hairline and spiking it up will cover the thinning back areas I said something about maybe add fibers on the crown also after.

Is there a way someone can line how far is hairline to frontal third in my head? 

When I would ask him how far back will I get he just kept saying is better to dense pack the hairline your not a bad looking man restoring the hairline will give you best looking  results. And that he can spread it as back as I wanted but will not give much density at the front if he goes further back .

I really wish he could of gave me a line or point how much he thought would be covered in the hairline or front.

I've got a consultation with Nadimi until December 12th 

Konior scheduled me sooner about 3 4 weeks from emailing back and forth maybe he had an opening for the in person consultation.

Edited October 9, 2023 by Yoni

[1978matt]

The picture you have that has two areas split showing '6000 grafts': the front part is probably the sort of area you are looking at

[Melvin- Admin]

Sorry to see this situation, shocking these clinics tout “max density” nonsense slogans. This won’t be easy, the donor looks depleted. The grafts may need to be removed and redistributed. Have you consulted with Dr. Konior or Dr. Nadimi?

[Yoni]

3 hours ago, Melvin- Admin said:

Sorry to see this situation, shocking these clinics tout “max density” nonsense slogans. This won’t be easy, the donor looks depleted. The grafts may need to be removed and redistributed. Have you consulted with Dr. Konior or Dr. Nadimi?

Yeah unfortunately i researched after that max density 10 12k hairs per session bs and barely got any grafts or hairs.

Saw dr konior Sept 30th. Estimated 2000 grafts for hairline. He didnt say nothing about removing grafts and that surgeon atleast didn't do bad on the line or directions since they use minis but I think I have more 2 and 1 hairs I only see a few of those 6-10 hair grafts that clinic so call uses for best density again all bs.

That clinic also has me for a free FUT base on my results probably just to not get a bad review. I told dr if I go get that fut then come to you after for those 2000 grafts would it be Good he just said something about  anything you put up there will make it appear thicker yes. But it will not make it look natural or get  the results you want. And I definitely don't want those minis or those type of clinics .

Konior did say that it would suit me to keep my hair spiky or up to dense pack the hairline to have the best look and cover whatever it's further back I guess by spiking it or coming it back I assume.

Dr nadimi I'm seeing in person also but the appointment is scheduled further back to Dec 12.

On emails from last year she estimated would be best to do smaller procedures but pictures I sent her look way thinner than this photos here to build out density front then mid and crown but I don't want to waste grafts on the crown I want frontal restoration only for now and if I have grafts left I can go with beard chest hairs I guess depending on my scalp donor supply but it's harder to conceal the hairline.

so I feel the crown I can use hair fibers which I don't really like fibers or want to use use at all But if frontal restoration atleast in the USA is all I would be able to get is more conservative I wouldn't mind traveling if Dr's out in the world do more coverage like Dr Couto, freitas, or other recommendations. I just feel since I live in Chicago Dr konior or dr nadimi being one of the best frontal hairline restorations doctors out there it would probably be my best bet to go with them. But that one clinic has me paranoid on what results a surgeon can actually deliver.

will see when she sees me in person once i mention I dont want nothing on the crown what she estimates or if she feels some minis can get removed and distributed better.

 

They both got openings for surgery for next year summer time at least as of now.  

Edited October 10, 2023 by Yoni

[A_4_Archan]

@Yoni

Sorry for what you have gone through...from your pics it seems that fut is not a viable option for you...so fue is the way to go now as doctor can cherry pick grafts by that.

Dr konior is good and if budget is not an issue than other option you can consider is doctor munib ahmad who is producing top notch results and i have seen some repairs from him which are exceptional ones and he himself performs incisions and extraction and implantation ... Good extraction will be the most important part in your case as the donor area is already depleted to a great extent 

[jjalay]

On 10/8/2023 at 9:45 PM, Yoni said:

I've took some as I mentioned I cut my hair down this is from today number 8 guard on the cutting machine says 1 inch top and top sides. From above line and down is number 3 guard I think is 10 or 6mm length.

Some pictures are with under harsh light and flash other regular I'm not the best barber u can tell left some areas longer or uncut I will re add pictures I will cut all top and sides to 1 inch to show the sides but I do notice where the sutures went on my left side like fue large punch holes more so under the strip scar up close with short hair or long hair but when is at 1 inch it looks more dence my donor zone sides and back as you've seen from my first post last picture. I'm  greying more now so usually like my sides cut at 1-2 guard even sometimes at zero since I always wear the hat of course.

Also looks like my top is al grey on the poctures with flash but is not that grey weird on my end camera but on the back of the line I will try and get pictures of this some hairs do grow in where the scar line is in some areas of behind ears as well I wish it was like that on the sides as well. I've added one picture from 3 months in of the back scar zoom in u can see hairs coming in from the scar. Also now my scar seems thinner than when it was healing was very red pink and seem wider sided and back so idk that's weird I do gain weight and loose weight alot I don't think that's what it is though.

 

Dr k did say my donor seems weak in person though some areas more than other which is why recommendation is to go via FUE rather than another FUT since I kept asking If he can do fut same line or new line or combination of fut and fue but insist on fue.

 

Donor Area picture dump.

Last ones are under bathroom light with flash on some no flash on some.

 

Judging from these photos i dont think you are a candidate for another fut. What nadimi suggested seems like the proper approach. A small fue , 1500 grafts, in combination with beard grafts to reinforce the hairline and give some cover on the midscalp would be the best approach. 

Your donor area looks really sparse. This could alos be ralated to permanent schock loss after the first surgery. I suggest you to start taking finasteride also, this could help to strngthen yout donor area too.

[Yoni]

On 10/10/2023 at 10:13 PM, jjalay said:

Judging from these photos i dont think you are a candidate for another fut. What nadimi suggested seems like the proper approach. A small fue , 1500 grafts, in combination with beard grafts to reinforce the hairline and give some cover on the midscalp would be the best approach. 

Your donor area looks really sparse. This could alos be ralated to permanent schock loss after the first surgery. I suggest you to start taking finasteride also, this could help to strngthen yout donor area too.

I am on finasteride 2 years plus now. Generic I don't know if it's helping my donor or maintain further loss of hair.

Minoxdil liquid on 5 months now and my crown and mid have gotten better again, I don't know if is the combination or sole minoxidil.

Introduced derma pen 1 month ago once a week 1.5mm and I see tons of baby hairs all Over now I might shaved all my head down to a 1 guard now to see how that grows out using derma pen each week with the  minoxidil.

I was told I can get on Oral minoxidil 2.5g which I do want to see if that benefits me better since liquid is doing great for me so far i wish I've gotten on minoxidil at an earlier stage before going for a HT.

Anybody on here have good or bad results on Oral Minoxidil that can comment on.

Edited December 13, 2023 by Yoni

[jjalay]

45 minutes ago, Yoni said:

I am on finasteride 2 years plus now. Generic I don't know if it's helping my donor or maintain further loss of hair.

Minoxdil liquid on 5 months now and my crown and mid have gotten better again, I don't know if is the combination or sole minoxidil.

Introduced derma pen 1 month ago once a week 1.5mm and I see tons of baby hairs all Over now I might shaved all my head down to a 1 guard now to see how that grows out using derma pen each week with the  minoxidil.

I was told I can get on Oral minoxidil 2.5g which I do want to see if that benefits me better since liquid is doing great for me so far i wish I've gotten on minoxidil at an earlier stage before going for a HT.

Anybody on here have good or bad results on Oral Minoxidil that can comment on.

Check out this podcast about medications: