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Where to go for HT after a poor result??

A

aussiebloke

Valued member
I have had two strip HT's, my first in Australia for 2200 grafts gave me a renewed hairline and was a satisfactory result.
My second HT in India with Dr Madhu (2011) gave me little growth (2000grafts) besides a few hairs at the rear.
Third time lucky and I have learnt from my mistakes of using price as one motivator of choosing a HT. Even though Dr Madhu offered to do some rework, it wasn't worth another flight from Australia and get a third scar and perhaps another poor result.
Price is no longer an issue and I chosen North America to focus my consideration on. I did consider Dr Path and Dr Pong of Thailand because it's close to Australia but again with little precious donor hair left decided against it.
I want to improve my hairline and temples with probably 1500 grafts remaining.
Please help suggest Doctors who would be best and will give a aesthetic hairline and use the donor grafts most efficiently.
:photos are 24 months post second HT
 

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A

aussiebloke

Valued member
A photo 24 months post second HT. I have two separate strip scars. Dr Martinick of Australia suggested merging the two scars.
 

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A

aussiebloke

Valued member
third picture
 

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topccat29

topccat29

29 year HT veteran
In my opinion listening to those that have not actually had the experience of going to a specific doctor but feel comfortable recommending them is not the best approach. Even those that have never posted to the forums before but become eager only after a procedure are dubious in my opinion as I would consider it odd. Best to look for posters preferably those that have been around for some time that then went on to document their experience after this fact as it is a bit safer. If they didn €™t come back and follow up well that is telling you something.

Even with all this being said I would suggest looking into Dr. Woods as he is in your own backyard even though I have never been a patient. He has been around for a very long time and you can search his history on several of the forums and history usually tells you much of what you need to know. The problem with many researching is when that don €™t want to research history so much but want to see what happening now. Much better to start with history in my opinion. Not sure if this is helpful but I €™m sure others will reply.


Sometimes one can look at a stellar result and really be impressed. Yet if one were to maybe research history it's possible they would find out that particular doctor sued 3 or 4 of his patients, maybe had the patients thread locked, had a rep that was known as a liar, etc............point being you now see that stellar result through a different set of eyes because you have read the history.



Good luck.

 
salvar

salvar

Valued member
I have heard good things about Dr Russel Knudsen in Australia, worth getting quality work, especially if its your third transplant, you might be limited on what can be extracted from your donor.
 
F

FutureFue

Valued member
I am a massive fan of Dr Lorenzo and would strongly suggest doing an online consult with him. If you are going for 1500 to 2000 grafts you are looking in the region of 10k euros.
 
topccat29

topccat29

29 year HT veteran
May I ask you a question? Why do you want to lower the hairline as it looks fine where it is at?

It's hard to tell from the picture but are you concerned that the lateral hump area which would be the sides of your scalp near the top are going to drop leaving a gap for which you might need to depend on the donor that is left?


 
A

aussiebloke

Valued member
I am flying to Sydney in two weeks for a consult with Dr Knudsen, I had a consult with Dr Martinick two weeks ago and even though I am sure who work is up to standard and she was very likeable and knowledgeable but her presenter got defensive and even belligerent when asked difficult questions. I think for $13k I can do better. And best is what I want. topccat29, I felt my hairline was too high even as a teenager. My hairline is from my 1st transplant and has remained the same since 08.
I have had online consults from Dr Konior and Dr Berstein, they both get some good comments.
 

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Bigmac

Bigmac

Administrator
Staff member
Hi and welcome to the forum.
Sorry to hear your first two HTs have not met your expectations. Take your time to research your next choice, there are lots of good doctors out there. Your donor area looks quite thin and scarred from your previous surgeries, if you can get an in house consultation to check your scalp laxity to see if excising this scar tissue is an option.
Looking at your hairline you have drawn I think it would be wiser to plant just in front of the existing hairline to strengthen it and provide a nice natural look, maybe adding density behind.
There are some great examples of repair work on here so I'm pretty sure you'll be able to achieve a satisfactory result.
All the best,
BM.
 
sl

sl

BHR Clinic Patient Advisor
Yes as BM says, the donor needs checking for miniaturisation and density and the hair line drawn would need a lot of grafts and doubtful if the donor could give this and keep in mind loss behind also that the photos seem to show as it appears areas of thinning elsewhere.

Hope you can have some good consultations and make a good decision from the data then that comes out and ask a lot of questions.
 
topccat29

topccat29

29 year HT veteran
Aussiebloke just keep in mind sometimes not getting what we want is better advice. Of course it might not make us happy for the moment but maybe in the long run it is better advice. An important point to remember during your consultations.

If you decide to go to Konior and you need some assistance with something just send me a note. I live in Chicago and I'm only about 30 minutes away from the Oak Brook area and the airport. I would be happy to help and I understand having to travel and being in a foreign land while also having surgery. It does tend to add to the stress level.

Here is something that happened to me in the past which relates to getting good advice. I have 2 scars running along the side of my head that travel from behind the ear up toward my temple area then change direction and head toward the midscalp. They are thin scars and can barely be seen but since the hair has receded in that area if one looks hard enough they become evident.

I asked Dr. Bisanga what he thought about putting a few hairs in front of those scars to kind of conceal them. It would not have taken much at all only a few hairs but he laughed at me.................. and then I laughed.

I laughed because his laugh was a laugh of someone with experience and more knowledge then myself and I understand that because I have that same laugh sometimes in areas where I myself excel and sometimes others don't understand it. The fact is he was absolutely right. Adding hair to that area would have only accentuated the area and it would have become even more of a focus point due to the difficulty of being able to match the other hairs in that area. It becomes a side by side comparison which I better understand now as time has passed and I have viewed so many more results. Of course not really what I was hoping for but better advice none the less. Receiving advice that is the opposite of what we want is not a put down so please don't take it that way.

Hope it all works out for you best to take you time and not rush and I also say that from experience.
 
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Bigmac

Bigmac

Administrator
Staff member
Quote - I have had online consults from Dr Konior and Dr Berstein, they both get some good comments.


Any chance you can tell us what these docs said.
 
A

aussiebloke

Valued member
Bigmac Dr Konior-
1500 grafts should provide the necessary density for the area you have identified. My only concern is going to be the state of your donor site. I respect Dr. Martinick's opinion, but I'll have to make that judgment myself.What is your thought about shaving your donor area in the event that a strip would be impossible? That would allow us to transition into an FUE harvest to provide the necessary grafting units. I always to prefer having a back-up plan whenever possible and this would assure you that a procedure can be accomplished even if a strip were to be impossible. I assume you will be able to get another strip, but having this option would be good.
Dr Bernstein-Thanks for sending the photos. Because of your prior surgery, I would need to examine you and assess your donor supply before I could offer a useful opinion and make specific recommendations. When you are in New York, I would be happy to see you. (I replied by telling him about my assessment from Dr Martinick but no reply.)Dr Feller- no reply
 
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C

Crudance2006

Member
If you are going to New York maybe contact True & Dorin and Carlos Wesley who are represented on here. I chose Smg for my surgery although they are located in Minneapolis which would entail another flight.
Best wishes.
 
Bigmac

Bigmac

Administrator
Staff member
Thanks for sharing that, what was Dr Martnicks opinion.
Was she the doctor who did your first HT which turned out ok.
 
garageland

garageland

Valued member
Aussiebloke,

Some good advice here for you. I would really take your time as this is going to be your third surgery and another mistake will be so costly and be very difficult to recover from. You have thinning through the entire frontal area and whilst your hairline appears to be quite high I would certainly not reduce it by the levels you drew in that photo I think that would be a very bad idea.

You have two strip scars already and what appears to be below average density so donor supply is your number one concern.

If you have 1500 grafts available then I would strengthen what you have in the front, the hairline height is appropriate but don't lower the hairline and temples or only by a fraction. A low more youthful hairline does not look right if you have thinning throughout the rest of your scalp.

You need to work out whether another strip would be the best idea and you should have your laxity evaluated before deciding. After two surgeries and two separate scars you are going to have to remove at least one of these scars and ideally two this will of course impact the number of grafts.

FUE might be best for you but again you have to be careful to leave enough hair to cover the strip scars.

I think some in person consultations are essential and it sounds like you are doing that. Looking at your photos the sides of your scalp are likely to be your best donor resource. Have you considered using Propecia to stabilise your loss?
 
S

-se7en-

Valued member
Aussiebloke- I would suggest having a consultation with Hasson and Wong. I have had surgery with Dr Wong, who in my opinion is one of the best if not the best in hair restoration. They do not offer fue from what I understand, in the event fut is not an option
 
D

Dazzster26

Valued member
Aussiebloke

Wishing you all the very best with your choice of Dr for your next HT, just by looking at your pictures and the hairline you have drawn that would take a lot more than 1500 Grafts to fill in especially if doing the temples as well , am saying this out of experience having lowered my hairline 1cm and done some temple work as well , IMO if your heading to North America for your surgery I would do the rounds and get as many face to face consultations as possible and then shortlist them , I know SMG do amazing work and this includes repair work but I have not been their myself , sometimes we just cant have what we want however if we can find the right Surgeon who can be truthful with us and give us the best we can get then irrespective of money then we come out winners in the end , do your research friend and I hope to see you back on the forum , some sound advice given by the older members in your thread and they have the experience.
Take care
Daz
 
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Bigmac

Bigmac

Administrator
Staff member
Would be good to hear how you're getting on.Hope you were able to find a solution.
All the best.
Bm.
 
J

JoeF

Valued member
Hi Aussiebloke, hope all is great; I have had four large hair transplants to date. From my experience, I would recommend for your next hair transplant to focus on the hairline to get the maximum possible density and to not waste too much more of your donor hairs on your middle and crown areas; for these areas I would recommend concealor or MPG.
If you want to get the perfect result, focus on maximum density on your hairline.
 
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