Senior Member ASMEDMANUALFUE Posted August 14, 2014 Senior Member Share Posted August 14, 2014 . ASMED SURGICAL MEDICAL CENTER Dr Koray Erdogan - PATIENT'S AGE: 36 - NW: IV - TOTAL DONOR CAPACITY: 7000 grafts - GRAFTS DISTRIBUTION: 1800 grafts were used to fill the frontal part; 2200 grafts to cover the mid-scalp and vertex parts - FINASTERIDE: The patient started the treatment 6 months before undergoing the surgery 4008 grafts FUE extracted with titanium manual punch, diameter 0.7 - 0.9 mm. Incisions realised by: custom made blades, lateral slit 779 single grafts 1856 double grafts 1370 multiple grafts BEFORE THE OPERATION OPERATION 4 MONTHS 6 MONTHS 9 MONTHS . ASMED Surgical Medical Center Dr Koray Erdogan. Istanbul, Turkey - For info, evaluations and quotations: htn@asmed.com.tr - Telephone Contacts (Numbers active in working time and 24h for urgencies): Main number : (+90) 216 464 11 11 USA: (+1) 8454612049 UK: (+44) 2035191146 - Free online consultation: Online Consultation Form - For additional information on our clinic, cost and photos: Asmed Hair Transplant Official Website - Our Official Facebook Page Link to comment Share on other sites More sharing options...
Regular Member waittosee Posted September 11, 2014 Regular Member Share Posted September 11, 2014 Not enough density on hairline, I can spot this HT 1 mile ahead Link to comment Share on other sites More sharing options...
Regular Member decow Posted September 11, 2014 Regular Member Share Posted September 11, 2014 Not an excellent result , HT can be easily spotted. Very average yield Link to comment Share on other sites More sharing options...
Senior Member KO Posted September 15, 2014 Senior Member Share Posted September 15, 2014 I don't think it's so bad, I I like the result, but I feel the 12 month shots are taken under shade and not bright light. It is also likely due to the fact that he started finasteride 6 months before surgery and has thickened up. I'll point out to our newest troll friend BUSA that here is an example of Dr Erdogan correctly placing a conservative hairline. 3382 FUE Lupanzula http://www.hairrestorationnetwork.com/eve/185463-3382-grafts-lupanzula.html Link to comment Share on other sites More sharing options...
BUSA Posted September 16, 2014 Share Posted September 16, 2014 I don't think it's so bad, I I like the result, but I feel the 12 month shots are taken under shade and not bright light. It is also likely due to the fact that he started finasteride 6 months before surgery and has thickened up. I'll point out to our newest troll friend BUSA that here is an example of Dr Erdogan correctly placing a conservative hairline. once again schmuck I've been here LONG before you so get over it.... in fact I was here in the late 90's. the only reason the hairline is so conservative is because his hairloss was quite extensive therefore it demanded it with a thinning donor zone. if u actually had a clue about hair transplants u cud have figured that out on ur own.....:rolleyes: Link to comment Share on other sites More sharing options...
Senior Member 1978matt Posted September 17, 2014 Senior Member Share Posted September 17, 2014 once again schmuck I've been here LONG before you so get over it.... in fact I was here in the late 90's. the only reason the hairline is so conservative is because his hairloss was quite extensive therefore it demanded it with a thinning donor zone. if u actually had a clue about hair transplants u cud have figured that out on ur own.....:rolleyes: That's a contradiction to what you have been saying in other threads. You keep saying doctors should be giving patients low hairlines, e.g. NW2 or lower. So lets say the above patient was a Norwood 3 when he was around 30 years old (he's 36 according to above). If he had a surgery back then which took him to a low Norwood 2, do you still think it would look dense and natural now? For some reason you just don't get it. 4,312 FUT grafts (7,676 hairs) with Ray Konior, MD - August 2013 1,145 FUE grafts (3,152 hairs) with Ray Konior, MD - August 2018 763 FUE grafts (2,094 hairs) with Ray Konior, MD - January 2020 Proscar 1.25mg every 3rd day Link to comment Share on other sites More sharing options...
BUSA Posted September 17, 2014 Share Posted September 17, 2014 there is no contradiction there. someone who is a NW3 will have at least 6000-8000 donor hairs on average from his HEAD alone NOT including another 2000-4000 BHT depending on the amount of hair he has so he can easily have any hairline he wants cause he has plenty of donor hair. what is it YOU don't get? if someone needs to get another FUE NOT FUT down the road thats easy. you can't keep goin in and cutting ones scalp with FUT but one can easily go back for more FUE. the only time an aggressive hairline cannot be completed is if the patient has limited donor hair or thinning donor hair or some medical reason and losing hair as a result OR he simply can't afford to pay for the amount of grafts its wud take to give him the density from the hairline back. which is another reason doctors like Lorenzo are reserved for those that have money to burn which isn't most ppl wanting to restore their hair therefore they can't afford the amount of hairs it wud take to complete their HT but thats a moot point with lorenzo cause he doesn't perform aggressive hairlines.. That's a contradiction to what you have been saying in other threads. You keep saying doctors should be giving patients low hairlines, e.g. NW2 or lower. So lets say the above patient was a Norwood 3 when he was around 30 years old (he's 36 according to above). If he had a surgery back then which took him to a low Norwood 2, do you still think it would look dense and natural now? For some reason you just don't get it. Link to comment Share on other sites More sharing options...
Senior Member Spanker Posted September 19, 2014 Senior Member Share Posted September 19, 2014 I guess everyone had their own opinions. I don't consider Dr. Lorenzo a conservative doctor. Not so I consider Dr. Konior especially conservative. I don't see anything wrong with this transplant, at the nine month mark it looks fine. I think if you weren't already well versed on transplants and met this guy on the street you would but give this guy's hair a second thought. I am an online representative for Dr. Raymond Konior who is an elite member of the Coalition of Independent Hair Restoration Physicians. View Dr. Konior's Website View Spanker's Website I am not a medical professional and my opinions should not be taken as medical advice. Link to comment Share on other sites More sharing options...
Senior Member ASMEDMANUALFUE Posted November 19, 2014 Author Senior Member Share Posted November 19, 2014 . ASMED SURGICAL MEDICAL CENTER Dr KORAY ERDOGAN 13 MONTHS AFTER THE SURGERY ASMED Surgical Medical Center Dr Koray Erdogan. Istanbul, Turkey - For info, evaluations and quotations: htn@asmed.com.tr - Telephone Contacts (Numbers active in working time and 24h for urgencies): Main number : (+90) 216 464 11 11 USA: (+1) 8454612049 UK: (+44) 2035191146 - Free online consultation: Online Consultation Form - For additional information on our clinic, cost and photos: Asmed Hair Transplant Official Website - Our Official Facebook Page Link to comment Share on other sites More sharing options...
Senior Member FUE2014 Posted November 19, 2014 Senior Member Share Posted November 19, 2014 Can't tell anything from those photos really except for the last one which makes the density look quite poor; for 4000+ grafts this is certainly not one of my favourite Erdogan results. Link to comment Share on other sites More sharing options...
Senior Member Spanker Posted November 19, 2014 Senior Member Share Posted November 19, 2014 The density IS poor. That's because it's 4k grafts spread over an entire head. It would take twice the grafts for a nw 5/6 to have a full look over a large area. Nothing wrong with the case, it is what it is. 4k grafts on a high nw. I am an online representative for Dr. Raymond Konior who is an elite member of the Coalition of Independent Hair Restoration Physicians. View Dr. Konior's Website View Spanker's Website I am not a medical professional and my opinions should not be taken as medical advice. Link to comment Share on other sites More sharing options...
Senior Member hadenough2014 Posted November 19, 2014 Senior Member Share Posted November 19, 2014 The front hairline looks a little pluggy. I'd like to see him go back in for 500 more in the front to add density. The risk of course is shock loss, but I think the doc is good enough to minimize that that. It is not uncommon for patients that have 3000+ grafts to need a touch-up session, especially when they are building a new hairline from scratch. Some micro-irregularities on the hairline would help as well to break it up a bit. Link to comment Share on other sites More sharing options...
Senior Member hadenough2014 Posted November 19, 2014 Senior Member Share Posted November 19, 2014 The density IS poor. That's because it's 4k grafts spread over an entire head. It would take twice the grafts for a nw 5/6 to have a full look over a large area. Nothing wrong with the case, it is what it is. 4k grafts on a high nw. I agree that they really stretched the 4000 grafts too far. Should have taken 500 nearer the crown and placed them up front. Always work front to back, and never compromise the front to stretch to the back. Link to comment Share on other sites More sharing options...
Senior Member delancey Posted November 19, 2014 Senior Member Share Posted November 19, 2014 I actually like this result. Keep in mind that no one looks at your head from above. Secondly, he has pale skin and dark hair, so the hair line may come across as less thick (I don't think it looks pluggy). Thirdly, his crown was dipping, and the crown appeared to be opening up before that hair transplant. This means that without medication, he could very well become a NW6. Finally, as a Norwood 6, I would be delighted with this result. He went from being entirely bald to having an illusion of coverage. So what if his crown appears to be thinning. People don't consider you to be bald if you have hair on top! Imo, great result. Thanks for sharing. FYI, I think the meds played an important role here. I am not a medical professional and my words should not be taken as medical advice. All opinions and views shared are my own. Link to comment Share on other sites More sharing options...
Senior Member Cant decide Posted November 20, 2014 Senior Member Share Posted November 20, 2014 The density is not poor here. This is a solid result for the number of grafts moved. Again, we are getting spoiled with NW 2-3 patients having the same number of grafts moved. You cannot compare it to this case. Most know that intuitively but based on these comments, I question if we on this board are not starting to expect miracles on NW 5-6 patients. I am starting to think we need a whole new category for NW5-6 patients to avoid the NW 2 stating how "Poor" the density is and how they would not be happy with that density. A NW 2-3 patients results are irrelevant to a NW 5-6 patients results period. The only thing to compare is naturalness as it should be there for both. I was a NW 6 and now I have a decent head of hair but if those 8000 grafts were placed on a NW 3, I would be at a whole different level. My Hairloss Web Site - Procedure #1: 5229 Grafts with Dr. Rahal Oct, 2010 Procedure #2: 2642 Grafts with Dr. Rahal Aug, 2013 7871 Grafts http://www.hairtransplantnetwork.com/blog/home-page.asp?WebID=2452 Link to comment Share on other sites More sharing options...
Senior Member Number47 Posted November 21, 2014 Senior Member Share Posted November 21, 2014 Unfortunately you can tell that this guy had a hair transplant from miles away. Hairline is pluggy. Link to comment Share on other sites More sharing options...
BUSA Posted November 22, 2014 Share Posted November 22, 2014 don't see anything plugy. I jus see a guy who needs another 1500 grafts or so to fill it in and give it more density. Link to comment Share on other sites More sharing options...
Senior Member hairweare Posted November 22, 2014 Senior Member Share Posted November 22, 2014 The patient had a large area covered perhaps as much as 200cm2 so the density was likely at best 20grafts/cm2 which looks pretty good visually despite the fact. I sure he has enough donor left to get an excellent final result should he choose a 2nd procedure. Link to comment Share on other sites More sharing options...
Senior Member Yonex Posted November 22, 2014 Senior Member Share Posted November 22, 2014 This guy is a norwood 5/6, not a 4 as described in the first post I think its a solid result given the area covered, from what ive seen a norwood 5 or 6 would need at least 7k grafts to have acceptable density over the entire balding area, although some need even more The thing here is if this guy gets another 3K fue and still isnt happy with the density or the crown balding gets worse, what does he do then as the doc estimates he will be maxed out at 7K fue grafts Link to comment Share on other sites More sharing options...
Senior Member Number47 Posted November 22, 2014 Senior Member Share Posted November 22, 2014 I don't mind the density i think its fine for the grafts transplanted. But the hairline is pluggy, maybe it has to do with the caliber of the patients hair and the skin contrast. I don't know if anyone from the clinic can answer on that. Or maybe they don't feel thats the case. Link to comment Share on other sites More sharing options...
Senior Member ready4Hair Posted March 19, 2015 Senior Member Share Posted March 19, 2015 I don't mind the density i think its fine for the grafts transplanted. But the hairline is pluggy, maybe it has to do with the caliber of the patients hair and the skin contrast. I don't know if anyone from the clinic can answer on that. Or maybe they don't feel thats the case. It isn't pluggy. It is 'perfect' which Dr.Erdogan tends towards with hairlines,in this case the fact that it is not dense makes that more apparent. I agree this is not so many grafts given his hairloss, and I'm betting with a 1500-2000 touch-up he'd look great. I do agree though that too often NW5+ tend to try to recreate hairlines vs trying to make a really good looking receding hairline (think Jude Law pre ht). That in itself should be an art form but I'm imagining the temptation and pressure from the patient to get back their old hairline is immense. http://www.hairtransplantnetwork.com/blog/home-page.asp?WebID=3054 Link to comment Share on other sites More sharing options...
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