ready4Hair

Maybe except it wasn't something I was 'looking for'. Just noticed my hair looks fuller/healthier, and tried to figure out what might have changed. I do understand hair cycles...

Ask Asmed...

As it stands now I'd only do Dr basal Dr sethi Dr freitas Dr feriduni. Dr Coutas 3 year wait makes him out of reach for me

Dr freitas us IMHO a far better cost benefit

I've been on two weeks and I swear my hair looks better.

Wow, blast from the past. He was one of those Doctors that you are so tempted to try and hope you are one of the hits not the misses. Super hairlines and density when it worked, not so much when it didn't, and more than enough bad experiences/aftercare to make me stay away. Honestly even the 'bad' recent Eugenix didn't sway me that much from them. I do think there was some poor planning and a little less aggressiveness would have allowed for a perfect result but the hairline, temples, etc were really good and he seemed to have a good experience etc. Dr. Diepjust seemed very... rogue. Whatever happened to him? Banned from here as well? Honestly, I started looking into HT with Dr. Rahal and FUT, had a HT planned but the whole FUT thing just rubbed me the wrong way (pun intended) and he wasn't doing FUE yet. But i liked his work a lot.

I don't know Dr. Gur. From my recent research AFAIK Dr. Couta would be far and away the best. Dr. Freitas, Dr. Ferudini. So far Eugenix with Dr. Basal or Dr. Sethi seems a good bet and every single review I read lauds the cleanliness and efficiency of the facility and the care/after-care. But they can range from under $2 a graft to over $5 and I'm not sure yet how to discern the difference in care/results w/o a deep dive. I seem to remembe Dr. Vorhies here in US had some good results but I don't see him mentioned. Also as you know, at least with Turkish clinics, the low prices and demand turn even great clinics into Mills as everyone flocks there (see Asmed).

I think that is a much better place to start. Poor Planning probably also encompasses: - Managing Patient expectations - Accurately assessing donor (density, caliber, groupings) prior to surgery - Taking into account age, miniaturization, donor area Value would be a tough one. For instance Dr. Basal is quoting around $24k for 4800 grafts, Dr. Freitas as far as I know (and Dr. Bisanga) would be considerably lower. Eugenix is in India meaning this is premium cost, approaching even Dr. Hasson. So how do we determine value? It isn't just final cost right? Value would be some formula of cost / donor management + esthetic placement + graft survival rate. In my case, for now, I lean towards Dr. Basal (since she seems to do temples as a matter of course vs Dr. Freitas who does great hairlines but so far I see few examples of temples) so "estethic placement" goes up even though cost does. It gets complex for sure, I'm guessing however there are at the end of the day truly only a handful of clinics or more to the point surgeons that can consistently pull off good and lasting results with the remaining being at least acceptable growth, with few to no failures and where there are less than stellar results amazing aftercare. compassion and when needed touch-up work. A handful as in... 8-24 clinics worldwide IMHO.

I agree there is a certain level of subjectivity in terms of the 'look'. A lot of HTs came out well where I really do not like the look. However there is certainly a level of objective metrics. We can all see certain clinics/surgeons just turn out subpar results too often. Poor planning, poor survival rates etc. I don't know if I rule out non high-fidelity photography clinics per se. I tend to look at reviews here (patient results not doctors) the same way I do with anything online; I know there will be SOME unhappy customers (I always joke that if Heaven were on Amazon it wouldn't get more than a 4.8) but the key is finding if there are consistent complaints that. With HTs I *immediatly* write off a doc when I see the patient experienced either pressure from the doc/rep to not report or they get some runaround (e.g. 'wait a year' when it is clear there is an issue). To me top of the list would be a doc/clinic that cares at least as much after the HT as they do when they are trying to get your business. That should be the fountainhead to the rest...

Well to be honest, even the clinics that do show detailed pictures only do so for their superior results. So the question goes even deeper; which clinics produce good verifiable results, and which do so on the majority of patients they see? We've seen enough anecdotes here where patients are either threatened with legal recriminations and/or bullied/bartered into taking their poor results down. Curious where you would put Eugenix on this list?

What is interesting/strange is they could have kept aggressive hairline and temples and just scaled back a tad (see green) to use those same grafts for the holes afaikt.

Personally I think option 2 is by far the best (assuming he fills in the side 'holes'. That way it is simply a natural progression from an amazing hairline temples to thinning crown. Nothing looks amiss except normal thinning from above/behind, but all of his personal interactions will have him with a great framing, a great profile (due to the temples and the 'hole' filled in). I think he is very close to being where he wants to be, just let the Bisanga after-the-fact go.

I have to say you seemed far happier until Dr. Bisanga chimed in. Not that I disagree necessarily with his monday morning quarterbacking but I think the overall analysis is you got an amazing hairline, framing and temples. As I see it if you fill in the triangles @Rafael Manelli outlined and do some minor crown work you'll look like a person who never had a HT, has an amazing hairline/framing and like many men has a thinning crown. I do think Eugenix could have planned better but given two docs think you have a decent amount of grafts necessary to do the above.

I think that is a great call. It will connect the sides and leave what many people have; a thinning crown but with natural looking sides and great frame.

Nice, thanks Melvin.

Plus some terrifying yelp reviews

Robotic Hair Restoration of Long Island

I replied to an ad here in NY for free donor analysis. Got into discussion with their rep from an Artas/Robotic FUE clinic (they also do manual fue and fut as he pointed out). He had some cautionary words about 4,000 graft FUEs, claiming they would only do that 1-2 years apart and doing so can easily create patchy/thin donor area and 'only' Turkey mills do that. He told me to consider FUT too if I actually need that much as it leaves density intact. I'm really opposed to FUT however. In any event he was selling me on robotic, and while it sounds good I seem to remember anecdotes here about how it is not all that. His selling points were that 1) it is able to analyze donor density on the fly and harvest only from areas that won't suffer from extraction and 2) it can be 'told' to go get single hair grafts as/when needed for e.g. frontal line and temples and 2) then told to get only 2s-4s for density behind. That is is the best way to get maximum grafts for FUE without the risks of overharvesting that manual FUE can result in. And in any event they would never do and would in fact turn away patient requesting any more than 2.500-3,000 FUE grafts max. Wondering about thoughts on this here? @Rafael Manelli @NegativeNorwood @Melvin- Moderator

I'm following your thread with great interest. In discussions now with Eugenix regarding 4800 graft procedure possibly end of this year.

Those temples are going to make all the difference in the world.

FWIW for reference a perfect profile shot of temples at 29 or 30

Totally agree on this. Sure everyone would love a nice crown and no thinning but at the end of the day 99% of the interactions that matter are face to face where framing matters. If anything the midline right behind the hairline would be most important to support the fulness from the front. And of course, IMHO, temples are the best bang for the buck.

If they really believe you are going to have significant hairloss then how are temples going to look worse than a hairline with hair disappearing behind it? i think it is an art and just because an HT surgeon can do hairlines does not mean he can do temples. Look at all the great results the Spanish HT docs have with spanish populations, they do aggressive straight hairlines with phenomenal density. Most don't do temples. Clearly those aren't going to look less natural then a dense hairline with nothing behind it.

Ok some good and bad news on lab tests. Good News: Found this link/company where you can order all of the quest and labcorp tests: https://www.walkinlab.com/why-walk-in-lab and they have all the ones discussed here e.g. https://www.walkinlab.com/products/view/estradiol-e2-sensitive-blood-test and even hormone panels which include many: https://www.walkinlab.com/products/search/page:1/search:hormone#parent_2863 Bad news (for me) is they are not legally allowed to service NY So not sure what my next step is.

I think that would be a great idea for you to actually know those #s (before, 2 hours after, 1 month after). I'd think any irreversible fin/dut damage would have to be some vascularization issue especially since the sex hormones would have to restabilize after going off them. Also not in the study they did doppler radar studies of the penis vasculature, maybe that is something to look into?