8 months 3000 grafts

[RPB95]

Hi I’m 8 months post op 3000 grafts to front half of head. Little bit concerned about the look so far, but have been told it’s looking good by the clinic and will improve.

Just after some other feedback, as I feel I will need a second transplant to correct this

I have been in touch with another clinic and advised I would need 1200-1500 grafts to repair this, does this sound right?

 

[My2021story]

Dr Arshad @ the Hair Dr?

 

[Bigmac]

Do you have any pictures showing your head prior to surgery and some immediate post op
to show where all the grafts were placed?

Are your pictures underneath a light or bright light through a window?

If normal lighting conditions you do have sone thin areas. There is still time for improvement, usually by month 10 you have a pretty good idea that you`ve had all your growth. Waiting until 12 mo this is normal for the clinic to assess and advise you.

Are you on any hair loss meds?

 

[RPB95]

Photos before surgery for before photos

Yes attached some photos few weeks before surgery and head shave.
And photo immediately post surgery.
Photos are in a room at standing height not near any windows, ceiling height is 10ft, I’m under 6ft to around 4ft distance of the light.

I have been on finasteride over 2 years.

Photos with long hair is June 2021, when I first started looking at getting a transplant, as I’ve always had long hair, and it’s a big part of my image, and to be receding is soul destroying lol

 

[RobCal]

how old are you?
did fin stop your alopecia progression?

 

[RPB95]

how old are you?
did fin stop your alopecia progression?

I’m 27, and not sure if it stopped it, but has definitely slowed it to a massive degree, don’t notice any hair shedding like I used to after about 8 months of fin, so I assume it is doing it’s job

 

[Bigmac]

The transplanted area looks nice and clean. Some grafts are difficult to see in your mid section but I can just about make them out. Your grafts were spread out over a larger area than the frontal half you mention in your opening sentence. See image below which I`ve roughly made a line for frontal half. The frontal half may be the last blue marking behind my red line or somewhere between. The picture makes it a little difficult to be accurate.



Grafts were placed in the crown area.

Looking at your pre-op pictures with shorter hair it looks as though you may have some diffuse thinning going on throughout your scalp which is why grafts were spread out more.
Your donor hair just above your ears looks a little bit like possible retrograde alopecia - donor thinning. The clinic I trust examined this area to see if it were safe to extract from, if grafts were harvested from there.
A donor extraction picture would be helpful if you have one at hand.

As your hair is now, I`d say you would need another HT to add the required density if the pictures show the true density. Your hairline is fuller/complete bridging the gaps to your temples. All you can do now is wait until 12 months to see if further improvements happen.

Being on Finasteride over 2 years will hopefully have stabilised your loss and possibly improved your hair. Did the clinic mention the quality of your donor?

 

[RPB95]

The transplanted area looks nice and clean. Some grafts are difficult to see in your mid section but I can just about make them out. Your grafts were spread out over a larger area than the frontal half you mention in your opening sentence. See image below which I`ve roughly made a line for frontal half. The frontal half may be the last blue marking behind my red line or somewhere between. The picture makes it a little difficult to be accurate.

View attachment 33059

Grafts were placed in the crown area.

Looking at your pre-op pictures with shorter hair it looks as though you may have some diffuse thinning going on throughout your scalp which is why grafts were spread out more.
Your donor hair just above your ears looks a little bit like possible retrograde alopecia - donor thinning. The clinic I trust examined this area to see if it were safe to extract from, if grafts were harvested from there.
A donor extraction picture would be helpful if you have one at hand.

As your hair is now, I`d say you would need another HT to add the required density. Your hairline is fuller/complete bridging the gaps to your temples. All you can do now is wait until 12 months to see if further improvements happen.

Being on Finasteride over 2 years will hopefully have stabilised your loss and possibly improved your hair. Did the clinic mention the quality of your donor?

Grafts weren’t placed in crown area I asked about this on the day, and was advised not to implant into the crown as there was not enough loss there yet, angle of photo is deceiving here’s a better photo.

Hair around my ears has been like that forever, here’s a photo from over 10 years ago showing the same pattern.

Photos of donor post surgery, and photos of back of head as of today, donor area still seems okay considering 3k grafts taken?

 

[Edsarn]

Where are you thinking of going for a repair?

 

[Bigmac]

That’s good that you most likely don’t have RA above the ears. These pictures do show the placement better. Providing most of the grafts grow you should get a decent result. The next couple of months could be a game changer for you.

 

[RPB95]

Where are you thinking of going for a repair?

Depending how the next 4 months go, I’m still in early stages of looking, but I wouldn’t be able to go for a second transplant till late November, as I have a wedding then.

I’ve made contact with Dr Saifi, in Poland, his work looks promising, but for now it’s still a waiting game, and hoping im just a slower responder to the first transplant

 

[RPB95]

That’s good that you most likely don’t have RA above the ears. These pictures do show the placement better. Providing most of the grafts grow you should get a decent result. The next couple of months could be a game changer for you.

Yes, I know I could be a slow gainer on this, and it’s hard not to compare to others getting faster results, but I’m not rushing to get a second transplant till after the full 12 months, longer actually because would have to end of November.

 

[Bigmac]

It is difficult when you see others with what looks like full growth at 6-7 months, sometimes earlier but remember, some people don’t see any new growth until month 6.
Any clinic estimating numbers at this point is just a rough guess. As you know, nothing is certain until the 12 months have passed.

 

[Edsarn]

Depending how the next 4 months go, I’m still in early stages of looking, but I wouldn’t be able to go for a second transplant till late November, as I have a wedding then.

I’ve made contact with Dr Saifi, in Poland, his work looks promising, but for now it’s still a waiting game, and hoping im just a slower responder to the first transplant

I’ve had four surgeries and I seem to be a very slow responder. I really hope your front fills out for you. You should see some improvements in density, but it might not be enough. I noticed improvement in my crown up to 18 months later, but crowns can be slower.

Do you not want to name the surgeon who conducted the HT, just to warn others? There seems to be a few cases in recents months of work like this being posted on this website and I think it shows how important websites like these are to support patients and also educate us all too.

 

[41M]

From recent posts and my own experience i would hazard a guess at Hairdr. Can you confirm please? I am also really worried at 6 months as I'm also similar or worse even.

 

[41M]

Can you confirm the clinic?

 

[RPB95]

Can you confirm the clinic?

Hi I can confirm is was the Hairdr uk, but will give it the other 4 months as advised

 

[Edsarn]

That sounds like a good plan and then you can evaluate what to do next. I had surgery there back in 2019, and was pleased with my results, but it seems as though there are some poorer results coming from them now.

 

[Bigmac]

From recent posts and my own experience i would hazard a guess at Hairdr. Can you confirm please? I am also really worried at 6 months as I'm also similar or worse even.

Would you create a thread or send me some pictures via message to confirm you`re a patient of the Hair dr?

Patient confirmed.

 

[Edsarn]

Hang in there @RPB95. You are taking a sensible approach.

If you do need a repair, I would consider getting a variety of different consultations from well established doctors.

All the best.