Fue hair transplant (400 - 500 grafts)

[Scotty1]

Hi guys,

I will be having my 1st fue hair transplant in about a month. See my pre pic allready.

Were I drafted the line is were it will be filled (also on other side).

I talked the whole thing through with my hair councellor , I'm supposed to give a call this week to confirm or cancel . What would you do, do I oversee any risks?

I'm terribly hating the recession of my hairline and want it back in shape. It's allready stabilized the last 8 yrs btw.

Thanks for reading this.

Scotty

[35YrsAfter]

Hi guys,

I will be having my 1st fue hair transplant in about a month. I'm supposed to give a call this week to confirm or cancel . What would you do, do I oversee any risks?

I'm terribly hating the recession of my hairline and want it back in shape. It's allready stabilized the last 8 yrs btw.

Thanks for reading this.

Scotty

Scotty:

How old are you and what is your family history of hair loss? Insist on FUE and make sure the doctor knows not to place multiple-hair follicular units near the hairline.

35YrsAfter also posts as CITNews and works at Dr. Cole's office in Atlanta - Cole Hair Transplant - Phone 678-566-1011
The contents of my posts are my opinions and not medical advice

[Scotty1]

Hi 25YrsAfter, thx for the good advice!

My age is 30. I have the same structure of hair as my father and grandpa it seems (thick & a slight curve in it). My father was balding in the same pattern as me (at the left and right hand side of the front hairline). But he still has like the same hairline now as I have in my picture so quite a lot of hair for a 60 y/o,

My hair councellor says he can insert 55 gfts a square cm on my balding spots. do you think this will look good taking my picture into consideration or will there be a big difference with my current hair..? Think myself 400 to 500 grafts is a good estimate as the other side seems a bit less affected by hair loss.

Do I take a risk that I harm my current hair in any ways (shockloss)? I take fincar for 6 yrs now btw.

[35YrsAfter]

Hi 25YrsAfter, thx for the good advice!

My age is 30. I have the same structure of hair as my father and grandpa it seems (thick & a slight curve in it). My father was balding in the same pattern as me (at the left and right hand side of the front hairline). But he still has like the same hairline now as I have in my picture so quite a lot of hair for a 60 y/o,

My hair councellor says he can insert 55 gfts a square cm on my balding spots. do you think this will look good taking my picture into consideration or will there be a big difference with my current hair..? Think myself 400 to 500 grafts is a good estimate as the other side seems a bit less affected by hair loss.

Do I take a risk that I harm my current hair in any ways (shockloss)? I take fincar for 6 yrs now btw.

400 to 500 grafts is a reasonable estimate. What country are you in and who is the doctor/clinic you are considering?

Chuck

[Scotty1]

Netherlands, I'm considering ABC Clinics where I had my consult

[35YrsAfter]

Netherlands, I'm considering ABC Clinics where I had my consult

Clinics have a reputation for having both competent and incompetent doctors. I am not familiar with the ABC Clinic. Who is the doctor that will be doing the work? I know a great doctor in Belgium. That's approx. 100+ miles from you.

Chuck

[Scotty1]

I had my intake with Peter v/d Ven. Not sure whether he was also do the surgery.

http://www.kliniekveldhoven.nl/haartransplantatie/fue/

There are multiple other doctors mentioned on the website handling FUE.

[35YrsAfter]

I had my intake with Peter v/d Ven. Not sure whether he was also do the surgery.

http://www.kliniekveldhoven.nl/haartransplantatie/fue/

There are multiple other doctors mentioned on the website handling FUE.

I couldn't find examples of his work posted. It's extremely important you go with a doctor who has a reputation for doing excellent work. It's really easy to butcher a hair transplant. Sometimes the graft recipient area looks OK, then down the road a very short haircut reveals scarring in the donor area because too large a punch was used. Sometimes the hair direction and density is wrong.

[DAVE52]

For the loss you have I wouldn't even bother .

[J_B_Davis]

It’s not worth the risk of possible shock loss. From the picture you hardly have any recession. You should seek the advice of a qualified IAHRS hair transplant surgeon before moving forward with anything, but if it were me I would just leave it alone.

[Scotty1]

Thanks for the comments. Why would my risk be higher of experiencing shock loss than others. Is there any ground for that?

[35YrsAfter]

Thanks for the comments. Why would my risk be higher of experiencing shock loss than others. Is there any ground for that?

Here's my take on shock loss based upon personal experience and speaking with a large number of Dr. Cole's patients:

1.) My personal experience with shock loss... Years ago at another clinic, I had a scalp reduction. This is where a strip of balding scalp was removed from the top of my head. I experienced substantial shock loss, but the hair grew back. About a year later, I experienced shock loss again from my last procedure at a big chain hair transplant clinic. The hair grew back. The methods back then were crude and invasive.

2.) Shock loss is less likely with minimal depth FUE. When minor shock loss occurs with modern FUE, it's more likely to occur when a large thinning or miniaturizing area on the top of the head is grafted. There is a very low risk of shock loss with today's FUE and hair lost due to shock loss nearly always grows back. In other words, the loss is related to a "shock" to the scalp that sends the hair into a temporary resting phase (telogen).

Loss can become permanent when the blood supply is drastically reduced. For instance we have a patient whose strip was closed at another clinic in a way that cut the blood supply off to an area of his scalp. An area the size of an ear became necrotic. It eventually healed smooth and completely hairless. We placed beard hair in the area and the first pass offered some decent coverage.

If FUE is properly performed in order to fill in an area of recession, the chance of significant shock loss in our experience is so low that, I don't see it being an issue of any great concern.

35YrsAfter also posts as CITNews and works at Dr. Cole's office - forhair.com - Cole Hair Transplant, 1045 Powers Place, Alpharetta, Georgia 30009 - Phone 678-566-1011 - email 35YrsAfter at chuck@forhair.com
The contents of my posts are my opinions and not medical advice
Please feel free to call or email me with any questions. Ask for Chuck

[Scotty1]

Thanks a lot for the elaborate answer. This motivates my throught that shock loss is not something to worry about too much.

One thing that amazes me is that there are so few examples of people with a similar number of grafts in same area as me. Most hair transplant are 1500+ . I don t like the idea of getting from completely bald to much hair overnight. Maybe also because i would try to keep it low key without my whole environment noticing my transformation. Do it rather now at a level where i van still hide it.

The only similar case i did find was this one:
http://www.*********************.com...D=3292&DrID=59

Did you perhaps came across more similar cases in your work 35yrsafter, or you know some from the internet?

[35YrsAfter]

Thanks a lot for the elaborate answer.

Did you perhaps came across more similar cases in your work 35yrsafter, or you know some from the internet?

Here are a few cases similar to yours although their recession was more pronounced than yours:

[DAVE52]

Have you thought long range. ?

You want to fill in a small area at your temples , what happens in 10 , 20yrs with further loss . You'll have to go back and get more done .

And the cycle will continue