M
Mr T
Valued member
so, topcat, what do u think i should go for?
strip, scar revision then fue, or straight with fue and no more strip?
strip, scar revision then fue, or straight with fue and no more strip?
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M
mars
Valued member
Mr t im going to give you my opinion if i may..
If you have enough laxity like you say you do for a revision possible tricho then in my opinion its a no brainer because:
1
utting fue in the scar will take 2 possible 3 sessions.
2:a revision will be one session.
3:by getting a revision you are saving grafts for the receipient by not using grafts to fue the scar.
4:a revision will help you reach your goals faster.
5:a revision is the most cost effective way,though this shouldnt be a factor imo none the less it is unless you are wealthy.
If you have enough laxity like you say you do for a revision possible tricho then in my opinion its a no brainer because:
1
utting fue in the scar will take 2 possible 3 sessions.2:a revision will be one session.
3:by getting a revision you are saving grafts for the receipient by not using grafts to fue the scar.
4:a revision will help you reach your goals faster.
5:a revision is the most cost effective way,though this shouldnt be a factor imo none the less it is unless you are wealthy.
M
Mr T
Valued member
thats my thought also mars
awaiting hasson and wong and rahal to get back to me... and now considering shapiro too
bhr is still a possibility
awaiting hasson and wong and rahal to get back to me... and now considering shapiro too
bhr is still a possibility
M
mars
Valued member
Out of curiosity did you tell feller you were unhappy with your scar?
M
Mr T
Valued member
no, still waiting for him 2 send my pre and post op pics from last ht in December last year...
my yeild in the crown area is far less than expected... no further loss there as it's pretty much the same...
just wanna focus on gettimg density in the front 2 3rd's for now...
fingers crossed doner is available...
my yeild in the crown area is far less than expected... no further loss there as it's pretty much the same...
just wanna focus on gettimg density in the front 2 3rd's for now...
fingers crossed doner is available...
topccat29
29 year HT veteran
Mr. T I think you need to take your time and seriously think about what is and is not possible. You can only spread out you donor so much. The numbers are the numbers and they don t lie. But my goals would be exactly the same, some density in the frontal 2/3 and some hair in the scar. The crown I would completely forget about. What is most important is to look normal and you have to be realistic in your expectations.
Would I personally go for a strip the answer would be no. I would much rather stretch the whole repair out and just go with FUE using available head hair and beard/body hair. But that is just my own personal opinion having been through multiple strips in the past it doesn t necessarily mean you would not get a better result going with strip. You basically have to do the math. If you did the revision along with FUE how many more grafts would you be able to harvest overall as opposed to doing FUE alone and how much smaller would your scar area be and would it be worth it.
Would I personally go for a strip the answer would be no. I would much rather stretch the whole repair out and just go with FUE using available head hair and beard/body hair. But that is just my own personal opinion having been through multiple strips in the past it doesn t necessarily mean you would not get a better result going with strip. You basically have to do the math. If you did the revision along with FUE how many more grafts would you be able to harvest overall as opposed to doing FUE alone and how much smaller would your scar area be and would it be worth it.
M
mars
Valued member
topcat would you seriously rather 3 sessions of fue to a scar?i believe sparky had around 800 grafts thats alot imo,strip revisions do fail too but mr t is claiming he has great laxity that surely makes the odds greatly in his favour for a successfull revision with a much smaller scar as the end result.Not to mention fue growth in scars can be unpredictable too.
Just for the record in my previous post about why i dont like umar i meant 2-3000 beard grafts in a session not 2-300
Just for the record in my previous post about why i dont like umar i meant 2-3000 beard grafts in a session not 2-300
topccat29
29 year HT veteran
Mars, yes seriously but I can only speak for myself. It took me somewhere around 10-15 years for the back of my head to feel normal again.
And the fact is his laxity had to be better before the strip and we can all see how that turned out a revision has risk.
It's better to go slow. The instant result is great if that works out but if it's an instant sh*t result you don't get a do over and that's not so great.
And the fact is his laxity had to be better before the strip and we can all see how that turned out a revision has risk.
It's better to go slow. The instant result is great if that works out but if it's an instant sh*t result you don't get a do over and that's not so great.
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M
mars
Valued member
If one of the 3 docs i mentioned seen mr t in person and felt his laxity is good then i think that is a good sign.
Topcat what do you think is a realistic expectation with regards to density by fue into a wide scar at end result?
mr t how long and wide is your scar btw?
Topcat what do you think is a realistic expectation with regards to density by fue into a wide scar at end result?
mr t how long and wide is your scar btw?
topccat29
29 year HT veteran
I think all you can do is go slow and evaluate the yield over each session. Each person is different so the question can t be answered definitively.
M
mars
Valued member
This is a good discussion on two different points of views,if this discussion was on htn..well you know how it would go.
topccat29
29 year HT veteran
Yes, we would be banned for all the dangerous talk of FUE. Hopefully no one here has been harmed
I wonder how they explain the $63M being spent on a robot for such an inferior procedure
I wonder how they explain the $63M being spent on a robot for such an inferior procedure
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M
mars
Valued member
good point 63 million says it all.When shapiro and rahal add fue to their services you would think htn would accept fue as a close equal rather than a distant relative.
M
Mr T
Valued member
my scar goes round from one ear to the other, but not all of it is noticeable, the bad bits are less than 1cm wide, good bit are a few mm wide...
M
musclehair
Member
Mr T, after reading and considering all your possibilities if i were you i would go as Topcat with caution and slowly:
How about going for a Fue test in some part of your scar??, then after watching the outcome:
If positive you may continue with it getting rid of the scar and increase the density in your crown and where neccesary with more Fue and Beard Hair. Dr Bissanga seems to be the best option for this. He controls Beard HT, Fue and repair cases as shown here several times.
If negative results in this Fue test, you may go for the Scar revision knowing that u only lost a few hundred of grafts which will have almost no impact for that strip scar revision.
The other way around: first scar revision with strip may leave you in a worse scenary if the negative result, which means that there are more risks although it could be shorter in time if positive... but after such a long jorney you already have and all you are going to play in your next game, it does not make sense to set the time factor as a priority...
Just my thoughts. I hope this may help something.
And sorry for my english cause its not my native language.
How about going for a Fue test in some part of your scar??, then after watching the outcome:
If positive you may continue with it getting rid of the scar and increase the density in your crown and where neccesary with more Fue and Beard Hair. Dr Bissanga seems to be the best option for this. He controls Beard HT, Fue and repair cases as shown here several times.
If negative results in this Fue test, you may go for the Scar revision knowing that u only lost a few hundred of grafts which will have almost no impact for that strip scar revision.
The other way around: first scar revision with strip may leave you in a worse scenary if the negative result, which means that there are more risks although it could be shorter in time if positive... but after such a long jorney you already have and all you are going to play in your next game, it does not make sense to set the time factor as a priority...
Just my thoughts. I hope this may help something.
And sorry for my english cause its not my native language.
M
mars
Valued member
One can be cautious but sometimes over cautious is just wrong,what topcat and musclehair beleive is imo way to over cautious,the bottom line is when done by a top top doc a bad scar will be made smaller just look at builltnuts scar,if dr shapiro can bring that to a 2mm scar after what it was then mr t should no doubt expect a similiiar result if not better and that is fact!
Plus no matter how much fue you put into the scar it will still be visable when short,you will never realisticaly be able to match it to native density around the scar.
Last point im going to make on this topic is worst case scenario is after revision the scar strethches back and your back to square one but at least you have tried and you cannot have regret,no way will the likes of rahal or shapiro or h&w make a scar worse well at least 99.9% of the time.
Plus no matter how much fue you put into the scar it will still be visable when short,you will never realisticaly be able to match it to native density around the scar.
Last point im going to make on this topic is worst case scenario is after revision the scar strethches back and your back to square one but at least you have tried and you cannot have regret,no way will the likes of rahal or shapiro or h&w make a scar worse well at least 99.9% of the time.
M
Mr T
Valued member
can someone from shapiro please advise on my situation please?
Bigmac
Administrator
Staff member
Hi Mr T.
Looking at your scar area it would appear you have permant shockloss around it, this just my opinion looking at your pictures.
It would be good if you could chase up your pictures from the doc so we can see a clearer picture of your pre and post op situation.
Are you still taking any meds as you say you have lost all your native hair which will of been hard for the doc to predict.
Cheers Bm.
Looking at your scar area it would appear you have permant shockloss around it, this just my opinion looking at your pictures.
It would be good if you could chase up your pictures from the doc so we can see a clearer picture of your pre and post op situation.
Are you still taking any meds as you say you have lost all your native hair which will of been hard for the doc to predict.
Cheers Bm.
M
Mr T
Valued member
hi bm
i've been on proscar since 2006...
u feel i can get away with another strip/scar revision?
i've been on proscar since 2006...
u feel i can get away with another strip/scar revision?
M
Mr T
Valued member
p.s. was not at all happy for comfy with staples
so maybe stitches will respond better? because with staples, u have those gaps in between... not so much with stitches, correct?
so maybe stitches will respond better? because with staples, u have those gaps in between... not so much with stitches, correct?
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