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FUE Dr Ekrem Civas 3200 grafts Sep 27th

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Pacman

Valued member
Hi Frankie, very sorry to hear it hasn't turned out well I remember following your progress and you looked to be heading towards a very decent result, I checked back from time to time to see if you had updated and assumed like many others your hair had flourished and you had moved on with life, it seems very unusual but it does look like you have lost the majority of transplanted hair only even though you did experience decent growth for some months and contrary to what the clinic suggests I think your native hair looks as strong as pre op. Your current pics look almost identical to the picture you posted in your shedding phase so it looks clear to me that only your transplanted hair has died off? Is there a reason why the transplanted hair is not taking in this area? lack of blood supply etc? the rest of your hair seems quite strong and I would suggest your original hairloss pattern is not typical so why just this strip behind your hairline?

I wish you well and reckon you still have plenty options to put it right
 
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Frankie1983

Valued member
Pacman wrote:
Hi Frankie, very sorry to hear it hasn't turned out well I remember following your progress and you looked to be heading towards a very decent result, I checked back from time to time to see if you had updated and assumed like many others your hair had flourished and you had moved on with life, it seems very unusual but it does look like you have lost the majority of transplanted hair only even though you did experience decent growth for some months and contrary to what the clinic suggests I think your native hair looks as strong as pre op. Your current pics look almost identical to the picture you posted in your shedding phase so it looks clear to me that only your transplanted hair has died off? Is there a reason why the transplanted hair is not taking in this area? lack of blood supply etc? the rest of your hair seems quite strong and I would suggest your original hairloss pattern is not typical so why just this strip behind your hairline?

I wish you well and reckon you still have plenty options to put it right
Got disheartened which is why I didnt post back. To be fair its more that I think only only about 20% of my the transplanted hair grew rather than the transplanted hair falling out. I always kept a close eye on the the little bumps on the hairline and temples to see how many of the grafts grew and in those areas Id estimate about 20%.
When you say options to put it right ehatvare you thinking? I only have abput 500 grafts left in the bank and cant do much with that and apart from smp I cant think of much else
 
Bigmac

Bigmac

Administrator
Staff member
Hi Frankie. It has gone from looking promising to not that good. Your donor is scarred up too.
I`ve sent you a pm.
 
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Frankie1983

Valued member
Update - Essentially it looks like they took out more than the 3000 grafts they said they would and left me with a depleted donor along with hardly any growth in recipient area. The donor doesn't look as bad as it used to but don't believe there will be enough for another effective procedure.

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Bigmac

Bigmac

Administrator
Staff member
Hi Frankie.
I think you are losing more hair. In your last picture it looks as though your crown is dipping down towards the safer donor area. Your neck/nape looks as though the hair loss is creeping upwards which could indicate retrograde alopecia. Your sides are looking thin too. Checking back through your posts you stopped Finasteride due to sides. You then went onto Regain. Did you continue with it or did you try any other prevention meds?

I don’t know if these thin areas are due to a condition or from over harvesting. I would suggest having your donor and scalp re-assessed to see if there is any scalp condition and to get an accurate donor availability number. If you have some donor extraction pictures from the surgery it will help to compare with these thinned out areas.

Your growth was promising in the early months, then it seems to have tapered off for whatever reason. If there are no underlying conditions, then it seems to be a case of poor yield. When you reached out to the clinic all those years ago, did they offer any explanation?
 
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Frankie1983

Valued member
Hi Frankie.
I think you are losing more hair. In your last picture it looks as though your crown is dipping down towards the safer donor area. Your neck/nape looks as though the hair loss is creeping upwards which could indicate retrograde alopecia. Your sides are looking thin too. Checking back through your posts you stopped Finasteride due to sides. You then went onto Regain. Did you continue with it or did you try any other prevention meds?

I don’t know if these thin areas are due to a condition or from over harvesting. I would suggest having your donor and scalp re-assessed to see if there is any scalp condition and to get an accurate donor availability number. If you have some donor extraction pictures from the surgery it will help to compare with these thinned out areas.

Your growth was promising in the early months, then it seems to have tapered off for whatever reason. If there are no underlying conditions, then it seems to be a case of poor yield. When you reached out to the clinic all those years ago, did they offer any explanation?
My hair loss is definitely advancing from the crown and front. Thats just following my natural balding pattern as my mbp advances. Im not sure about any advancement in the donor area. I think thars been the same and thin following on from the procedure. I hope its not retrograde.

I asked them for the count of how many grafts and never gave it. Just asked why I wanted it and basically said I should come in for another procedure.

Im still taking minox and now looking into topical finasteride. I didnt even know that existed until I came back on the forum but looks to be a better option for me as I experienced sides on oral fina.

My friend went to Civas month after I did. His donors pretty much the same as mine
 
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Frankie1983

Valued member
Ive just found these which were about 8 months post fue. The nape does look like it could be thinner. But then hopefully its an advancement of a phone camera 7 years later providing a more accurate pic lol

IMG_20160530_160022.jpg

IMG_20160530_151757.jpg
 
loui

loui

Valued member
From what I see, I think your nape is thinning. You were unfortunaly also clearly overharvested in the whole extraction zone, would be interesting to see the extraction pattern performed in "just" 3000 grafts. Did Dr Civas himself do all the extractions?

The black mark is where I believe your nape is thinning, the white mark is where I think it was overharvesting + shock loss, it seems to have grown back some of the shock loss since its looking pretty strong now.

But as I said, you should get some evaluations from different Docs with a good rep, which you also said you are doing so thats very good going forward for you.

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Bigmac

Bigmac

Administrator
Staff member
Was it the doctor who did the extractions or a tech?
Definitely book an in person consultation to have everything checked out.
Your nape does look to be thinning but as you say, maybe it’s the camera. An assessment will confirm either way.
Those extra pictures do show your donor in what appears to be over harvested. It is possible you’ve lost more donor hair as time has gone by.
As for meds, there’s also oral minoxidil which has been receiving positive reviews.
 
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Frankie1983

Valued member
From what I see, I think your nape is thinning. You were unfortunaly also clearly overharvested in the whole extraction zone, would be interesting to see the extraction pattern performed in "just" 3000 grafts. Did Dr Civas himself do all the extractions?

The black mark is where I believe your nape is thinning, the white mark is where I think it was overharvesting + shock loss, it seems to have grown back some of the shock loss since its looking pretty strong now.

But as I said, you should get some evaluations from different Docs with a good rep, which you also said you are doing so thats very good going forward for you.

View attachment 33790
Civas only made the insertion holes. Didn't do any of the extractions or insertions himself.

I'll go see what docs say. I saw Dr Ball in 2018/2019. He didn't mention anything about any signs of retro so hopefully it isnt.
 
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Frankie1983

Valued member
Was it the doctor who did the extractions or a tech?
Definitely book an in person consultation to have everything checked out.
Your nape does look to be thinning but as you say, maybe it’s the camera. An assessment will confirm either way.
Those extra pictures do show your donor in what appears to be over harvested. It is possible you’ve lost more donor hair as time has gone by.
As for meds, there’s also oral minoxidil which has been receiving positive reviews.
It was a tech who did the extractions and insertions. Civas drew the line, made the holes for the insertions but that was about it. I've seen oral minoxidil and will look into that.
Slightly off topic but any recommendations on where to get topical fin? I've seen fue clinic and HIMS. Thanks
 
Bigmac

Bigmac

Administrator
Staff member
As well as the ones you mentioned I believe Dr Farjo and Dr Tam supply it.
If you don’t have retrograde loss I think you’ll have enough donor to be repaired.
 
loui

loui

Valued member
Thanks. Fingers crossed. I'll keep you updated
Just to be clear, my assesment that you might lose some hair in the nape is just that it looks a little bit thinner, but it can be normal to have some loss, does not mean you neccessarily got retrograde.

@Bigmac have lots of experience and hes very knowledgeable and he seems to think it looks fine so you should probably listen to him more than me.

Good luck and update us what the better Docs say about your situation, hopefully you will find a procedure either it is smp or a hair transplant that will make you happy.
 
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Frankie1983

Valued member
Just to be clear, my assesment that you might lose some hair in the nape is just that it looks a little bit thinner, but it can be normal to have some loss, does not mean you neccessarily got retrograde.

@Bigmac have lots of experience and hes very knowledgeable and he seems to think it looks fine so you should probably listen to him more than me.

Good luck and update us what the better Docs say about your situation, hopefully you will find a procedure either it is smp or a hair transplant that will make you happy.
Thanks Louii. That's appreciated and will let you guys know!
 
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Frankie1983

Valued member
Okay so have seen some docs. 2 in Turkey (reputable for Turkey) said no issue with the donor but they'll prob only be able to get 2000 grafts. Bisanga said my donor is miniaturised 30% so he won't take me on as a patient unless the donor improves.
 
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Frankie1983

Valued member
Did you get the meds you were looking for?
I've received some topical dutasteride which I'll be starting next week. Just waiting to get test levels checked on Tuesday before I start so I have a baseline.
 
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