FUT scar revision and new procedure help needed

[Chair]

I had my first FUT procedure in 2008 (500 grafts) split to the crown and hairline. I did zero research and just went with a friend who was getting the procedure done. The scar wasn’t bad at all and I am prone to raised scars sometimes. I then went in 2016 to Dr Feller and received Dr. Bloxham and received 2000 grafts to the crown. I still have a bald spot so either the placement of the grafts were done incorrectly or they didn’t take. I also have a qtr inch wide scar from ear to ear. I keep my hair short on the sides and back and the scar is visible sometimes. I now need grafts to the front of the head behind the hairline that doctor number 1 transplanted. I am considering FUE but is it better to just get FUT at this point and hope that the scar will be less visible with a new doctor? I’ve been quoted anywhere from 4500 to 2500 grafts needed. The 4500 is coming from most clinics in turkey. I hear they tend to over harvest which concerns me. These are the docs im reaching out to

In the US:

Carlos Wesley 

Christopher Varona

 

Netherlands

Dr Muhib Ahmad. Although I’m quoted 40,000 Eur which it way out of my budget

Turkiye:

Resul Yaman

Dr. Gur (FUECAPILAR)

Dr Bicer (waiting on their assessment) 

 

any advice on type of procedure I should do or doctor would be helpful. Does anyone know where I can find cost breakdown for Dr Carlos Wesley? 

Edited March 9 by Chair
Wrong year of procedure

[Doron Harati]

Hello @Chair,

we need to see photos to estimestimate your case.

HDC clinic specializes doing FUE over FUT scars to fade it away, you can read about the procedure @Parasol had with us to fade his FUT along with his frontal coverage.

Our clinic located in Cyprus, if you interested in consultation with us, you're welcome to contact my WhatsApp or pm.

 

[Berba11]

It would be beneficial to see some pictures, both because we can see exactly what you’re talking about and can better advise next steps, and also because you’ve stated you’re unhappy with a result from a recommended surgeon. 

[jjalay]

YOu had fut but with a small amount of grafts so i must assume that you still have good laxity and you will be able to pull out an fut megasession to correct the scar and fill in the hairline ant midscalp. If you already had an fut imo the best option would be to proceed with another fut but this time with a really good docttor. In your case i would look at doctors like dr Wong from Hasson and wong, Hattingen hair in Switzerland and dr Konior. All three are really good with fut repair cases.

[Chair]

11 hours ago, Berba11 said:

It would be beneficial to see some pictures, both because we can see exactly what you’re talking about and can better advise next steps, and also because you’ve stated you’re unhappy with a result from a recommended surgeon. 

These are all from today with the exception of the post op photo which was taken the day after surgery in 2017. The hairline was past of the 250 initial FUT. without that I’d have zero up front. I no longer care about the crown, a little toppik can help there. I also used to dye my hair which is why it’s so dark in the post op photo. I really just want a scar revision and the front completely filled and the hairline perfected. 

 

Edited March 7 by Chair

[shiba1985]

18 hours ago, Chair said:

I had my first FUT procedure in 2008 (500 grafts) split to the crown and hairline. I did zero research and just went with a friend who was getting the procedure done. The scar wasn’t bad at all and I am prone to raised scars sometimes. I then went in 2018 to Dr Feller and received Dr. Bloxham and received 2000 grafts to the crown. I still have a bald spot so either the placement of the grafts were done incorrectly or they didn’t take. I also have a qtr inch wide scar from ear to ear. I keep my hair short on the sides and back and the scar is visible sometimes. I now need grafts to the front of the head behind the hairline that doctor number 1 transplanted. I am considering FUE but is it better to just get FUT at this point and hope that the scar will be less visible with a new doctor? I’ve been quoted anywhere from 4500 to 2500 grafts needed. The 4500 is coming from most clinics in turkey. I hear they tend to over harvest which concerns me. These are the docs im reaching out to

In the US:

Carlos Wesley 

Christopher Varona

 

Netherlands

Dr Muhib Ahmad. Although I’m quoted 40,000 Eur which it way out of my budget

Turkiye:

Resul Yaman

Dr. Gur (FUECAPILAR)

Dr Bicer (waiting on their assessment) 

 

any advice on type of procedure I should do or doctor would be helpful. Does anyone know where I can find cost breakdown for Dr Carlos Wesley? 

 

You need a scar revision, or scar revision + FUT depending on your scalp laxity. 

Only then should you consider FUE.  JMO. 

Dr Munib Ahmed Quoted you 40,000 Euros ? for how many grafts? 

[Chair]

1 minute ago, shiba1985 said:

 

You need a scar revision, or scar revision + FUT depending on your scalp laxity. 

Only then should you consider FUE.  JMO. 

Dr Munib Ahmed Quoted you 40,000 Euros ? for how many grafts? 

He didn’t say how many grafts. He just said his cost is 40K euro after seeing my photos 

[jjalay]

I"m all in for good guality hairtransplant but 40K is outreagous and ridiculous the same time. If you commit to that he will probably plan only your surgery for 1 day and then take vacations for the next two weeks.

[Berba11]

3 hours ago, Chair said:

These are all from today with the exception of the post op photo which was taken the day after surgery in 2017. The hairline was past of the 250 initial FUT. without that I’d have zero up front. I no longer care about the crown, a little toppik can help there. I also used to dye my hair which is why it’s so dark in the post op photo. I really just want a scar revision and the front completely filled and the hairline perfected. 

 

Thanks for sharing. 
 

Personally I think your crown looks great. It looks age appropriate and naturally thinner but not “balding” per se. The salt n’ pepper works in your favour as well. And as you say, a little magic dust will give it a nice boost if desired. 
 

Obviously you have a large disconnect between the hairline and the crown that will require a pretty decent amount of grafts. 
 

Given that you need a larger session to sort the frontal third & midscalp, and you need a scar revision, one option would be to choose an FUT & FUE mega session specialist like Hattingen (they’re worth a video consultation at the very least). 
 

Another option might be to get on the waiting list for some of the big FUE specialists like Pittella, Zarev or Sethi and look to have the FUT scar filled in with some grafts placed into it. 
 

Your donor area looks decent which is good. You’re not going to get a super dense result across your scalp but you look like you could easily achieve a slightly thinner, full coverage look that connects everything and enhances your hairline a bit as well. 

€40K is, imo, an insane price, but expect to pay around half that number for most top surgeons charging more reasonable and transparent per graft prices around the €4-5 per graft mark in your case. 
 

On the more budget end of the spectrum you’d have good options in Cyprus, Thailand and India with good experience and result for higher NW cases/larger sessions. The sticking point will be how you choose to approach the FUT scar (revising it versus covering it with FUE implants). 

Edited March 7 by Berba11

[Chair]

2 hours ago, Berba11 said:

Thanks for sharing. 
 

Personally I think your crown looks great. It looks age appropriate and naturally thinner but not “balding” per se. The salt n’ pepper works in your favour as well. And as you say, a little magic dust will give it a nice boost if desired. 
 

Obviously you have a large disconnect between the hairline and the crown that will require a pretty decent amount of grafts. 
 

Given that you need a larger session to sort the frontal third & midscalp, and you need a scar revision, one option would be to choose an FUT & FUE mega session specialist like Hattingen (they’re worth a video consultation at the very least). 
 

Another option might be to get on the waiting list for some of the big FUE specialists like Pittella, Zarev or Sethi and look to have the FUT scar filled in with some grafts placed into it. 
 

Your donor area looks decent which is good. You’re not going to get a super dense result across your scalp but you look like you could easily achieve a slightly thinner, full coverage look that connects everything and enhances your hairline a bit as well. 

€40K is, imo, an insane price, but expect to pay around half that number for most top surgeons charging more reasonable and transparent per graft prices around the €4-5 per graft mark in your case. 
 

On the more budget end of the spectrum you’d have good options in Cyprus, Thailand and India with good experience and result for higher NW cases/larger sessions. The sticking point will be how you choose to approach the FUT scar (revising it versus covering it with FUE implants). 

This is very helpful! Thank you! I will look into Hattingen. I would prefer an FUE with transplanting some grafts into the scar. But do you think if I did another FUT, that would save some more donor hair if I ever needed more? I like the idea of FUE and transplanting into the scar. Resul Yamans group told me they would be doing 4000-4500 grafts to the front area and if I wanted in the scar line that I would sacrifice some grafts from the front for the scar. How many grafts would be needed in the scar? One thing that worries me about Türkiye is the over harvesting. I’ve been consistently quoted 4000 grafts from Turkish clinics, where other locations have said they would use less grafts. This will be my third and I hope final procedure. 

[Chair]

On 3/7/2024 at 6:13 PM, Berba11 said:

Thanks for sharing. 
 

Personally I think your crown looks great. It looks age appropriate and naturally thinner but not “balding” per se. The salt n’ pepper works in your favour as well. And as you say, a little magic dust will give it a nice boost if desired. 
 

Obviously you have a large disconnect between the hairline and the crown that will require a pretty decent amount of grafts. 
 

Given that you need a larger session to sort the frontal third & midscalp, and you need a scar revision, one option would be to choose an FUT & FUE mega session specialist like Hattingen (they’re worth a video consultation at the very least). 
 

Another option might be to get on the waiting list for some of the big FUE specialists like Pittella, Zarev or Sethi and look to have the FUT scar filled in with some grafts placed into it. 
 

Your donor area looks decent which is good. You’re not going to get a super dense result across your scalp but you look like you could easily achieve a slightly thinner, full coverage look that connects everything and enhances your hairline a bit as well. 

€40K is, imo, an insane price, but expect to pay around half that number for most top surgeons charging more reasonable and transparent per graft prices around the €4-5 per graft mark in your case. 
 

On the more budget end of the spectrum you’d have good options in Cyprus, Thailand and India with good experience and result for higher NW cases/larger sessions. The sticking point will be how you choose to approach the FUT scar (revising it versus covering it with FUE implants). 

Would you recommend a good clinic in Türkiye, like Yaman or Bicer? I am in NYC and I know there are a few good ones here. Although last time I went to “one of the best” and my scar came out looking like the Long Island expressway. Also, do you think I’d be able to put anymore in the crown? 
 

ant thoughts on Dr Carlos Wesley?

Edited March 9 by Chair

[Berba11]

3 hours ago, Chair said:

Would you recommend a good clinic in Türkiye, like Yaman or Bicer? I am in NYC and I know there are a few good ones here. Although last time I went to “one of the best” and my scar came out looking like the Long Island expressway. Also, do you think I’d be able to put anymore in the crown? 
 

ant thoughts on Dr Carlos Wesley?

My honest best advice in your specific case would be first to establish your key priorities. As I see it:

1. Reconnect the frontal third and the crown by covering as much of the midscalp and frontal third as possible. This will take a fair few grafts to achieve. A combination of FUE and FUT could work in your favour given the second priority below...

2. Excise the scar rather than put grafts into it. Graft survival rates into scars vary, and your scar is quite wide - there's a risk you'll waste grafts when a good FUT specialist could cut the scar out and make it much narrower. You then have the option in the future of putting grafts into a much small scar, saving you grafts in the long run. It may also be beneficial to utilise FUT to help cover the areas of hair loss over the scalp and maximise your remaining donor capacity given that as far as I can tell, you've never had FUE before. If you'd already had FUE then reverting back to FUT becomes a less attractive proposition.

3. A very distant third I should add... Your crown. Personally, given the existing hair loss you have, I'd have the crown miles down the priority list. To cover a full NW5/6/7 area of hair loss will require some compromise on some part of the scalp, and it seems to be to be unwise to use grafts on your crown when your crown already looks good, natural and you can use a bit of product to boost its appearance. At the very least, sort 1 & 2 and then assess the situation afterwards. If your donor will allow for a session on the crown then happy days... Slow and steady wins the race at the end of the day. 

The only exceptions to the above are if you were going to someone like Pittella or Zarev who's approach and scale of restoration in single passes is bigger than anyone else's. Expect to pay a lot and wait a long time for consultation and surgery though.

So could I recommend a Turkish clinic in your specific case? In all honesty I don't think so. Dr Bicer is a fine surgeon but if I were you I'd want someone who does both FUE and FUT as well as a track record of success with larger NW cases.

Dr Wesley has a good reputation I believe, but I'm less familiar with the North American market other than a few of the really big names so couldn't say. I'm sure other posters will be better placed to say in his case.

[Chair]

1 hour ago, Berba11 said:

My honest best advice in your specific case would be first to establish your key priorities. As I see it:

1. Reconnect the frontal third and the crown by covering as much of the midscalp and frontal third as possible. This will take a fair few grafts to achieve. A combination of FUE and FUT could work in your favour given the second priority below...

2. Excise the scar rather than put grafts into it. Graft survival rates into scars vary, and your scar is quite wide - there's a risk you'll waste grafts when a good FUT specialist could cut the scar out and make it much narrower. You then have the option in the future of putting grafts into a much small scar, saving you grafts in the long run. It may also be beneficial to utilise FUT to help cover the areas of hair loss over the scalp and maximise your remaining donor capacity given that as far as I can tell, you've never had FUE before. If you'd already had FUE then reverting back to FUT becomes a less attractive proposition.

3. A very distant third I should add... Your crown. Personally, given the existing hair loss you have, I'd have the crown miles down the priority list. To cover a full NW5/6/7 area of hair loss will require some compromise on some part of the scalp, and it seems to be to be unwise to use grafts on your crown when your crown already looks good, natural and you can use a bit of product to boost its appearance. At the very least, sort 1 & 2 and then assess the situation afterwards. If your donor will allow for a session on the crown then happy days... Slow and steady wins the race at the end of the day. 

The only exceptions to the above are if you were going to someone like Pittella or Zarev who's approach and scale of restoration in single passes is bigger than anyone else's. Expect to pay a lot and wait a long time for consultation and surgery though.

So could I recommend a Turkish clinic in your specific case? In all honesty I don't think so. Dr Bicer is a fine surgeon but if I were you I'd want someone who does both FUE and FUT as well as a track record of success with larger NW cases.

Dr Wesley has a good reputation I believe, but I'm less familiar with the North American market other than a few of the really big names so couldn't say. I'm sure other posters will be better placed to say in his case.

Thank you so much for your detailed response. I cannot find anything that you wrote that I can disagree with. I believe that the FUT is probably the best in this case. I will hopefully have a better outcome of scarring than I did with Dr Bloxham’s what I like to call “monstrosity”. Which also extends past my ears. It’s a very long and wide scar. It looks like a butcher job IN MY OPINION (I don’t want to be accused of slander by representation). 
 

I have not had any FUE procedures so I am hoping that after an FUT procedure, I am able to have an FUE in the crown, as you said, further down the line if needed. Also, I believe that the photo I posted doesn’t show how much hair I actually have. It seems to be less than there is because the hair just behind the hairline is white. I went gray very early and used to dye it. If I dye it now it will look fuller. I’ll try to upload a pic showing it a bit more. 

[Chair]

On 3/7/2024 at 8:08 AM, jjalay said:

YOu had fut but with a small amount of grafts so i must assume that you still have good laxity and you will be able to pull out an fut megasession to correct the scar and fill in the hairline ant midscalp. If you already had an fut imo the best option would be to proceed with another fut but this time with a really good docttor. In your case i would look at doctors like dr Wong from Hasson and wong, Hattingen hair in Switzerland and dr Konior. All three are really good with fut repair cases.

Spoke with Dr. K via email. He thinks the scar is too wide for another FUT as it wouldn’t harvest much donor hair because half of my scalp would need to be removed (my words). It would most likely result in stretching and leaving me with another wide scar. He recommends 2000 FU’s via FUE and another 300 from my beautiful chest hair (I buzz it so he can take it all for all I care!) to be placed into the scar. I’m thinking we should do 7000 from my chest and cover my whole head and make me look like mamoa guy, Eh I can dream. I do like that he is being conservative and not trying to over harvest like the clinics in turkey. I just hope 2000 FU’s to the hairline and front would be enough for a full dense look. 

[jjalay]

10 minutes ago, Chair said:

Spoke with Dr. K via email. He thinks the scar is too wide for another FUT as it wouldn’t harvest much donor hair because half of my scalp would need to be removed (my words). It would most likely result in stretching and leaving me with another wide scar. He recommends 2000 FU’s via FUE and another 300 from my beautiful chest hair (I buzz it so he can take it all for all I care!) to be placed into the scar. I’m thinking we should do 7000 from my chest and cover my whole head and make me look like mamoa guy, Eh I can dream. I do like that he is being conservative and not trying to over harvest like the clinics in turkey. I just hope 2000 FU’s to the hairline and front would be enough for a full dense look. 

Konior is probably one of the best doctors you can choose for a hairtransplant or a repair and in my opinion one of the best in the world right now. The thing is that he gets amazing graft survival rate and 2000 grafts with him will look like 3000 grafts from another clinic.

As for the chest hair your are lucky if you have it but i believe 300 grafts would be fine for the scar. Transplanting into scar tissue, its always better to go with a lower density and make sur that the blood supply is sufficient for these grafts to grow. The most cases of scar repairs ive seen like yours are done with somewhere 300-400 grafts and the coverage was good.

Transplanting bodyhair into the recipient area, you always have to mix it with scalp hair in a ratio of 2:1. transplanting so many chest hair in the recipient area is not a good idea imo. If you decide to proceed with dr Konior you should discuss with him all these matters and make sure you dont have any question left without answer.

[Chair]

3 minutes ago, jjalay said:

Konior is probably one of the best doctors you can choose for a hairtransplant or a repair and in my opinion one of the best in the world right now. The thing is that he gets amazing graft survival rate and 2000 grafts with him will look like 3000 grafts from another clinic.

As for the chest hair your are lucky if you have it but i believe 300 grafts would be fine for the scar. Transplanting into scar tissue, its always better to go with a lower density and make sur that the blood supply is sufficient for these grafts to grow. The most cases of scar repairs ive seen like yours are done with somewhere 300-400 grafts and the coverage was good.

Transplanting bodyhair into the recipient area, you always have to mix it with scalp hair in a ratio of 2:1. transplanting so many chest hair in the recipient area is not a good idea imo. If you decide to proceed with dr Konior you should discuss with him all these matters and make sure you dont have any question left without answer.

Thank you so much!! I really appreciate this. It gives me confidence to go with him. I saw results from his site using 2000 FU on someone my age with less hair in the recipient area and you’re right. It looks like a 4000 mega session