One session is not enough...

Hotlegs

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Hey. I just got my second transplant done, and I wanted to share my experiences with those of you who are looking into the procedure.

First of all, the procedure itself is fairly easy, and not especially painful.
The first few days after, however, can be quite painful at both the graft site, and the donor site. You can avoid the pain, by taking lots of the painkillers they give you, but I would not recommend "going back to work the next day" as some of the facilities suggest. Best to take a week off to recover. There is a decent amount of pain involved in recovery.

Also, here is the point I want to make very clear to people.

ONE SESSION IS NOT ENOUGH.

Hair transplantation is fairly expensive, and I think a lot of people with hair loss are willing to pay almost anything for a soloution. But I think most people think they can get away with one session, and then they will be done. This is not the case. They can only put new grafts so close together. So when you get the results from your first session, you will notice that they are not very close together. This is not as bad as a "pluggy" look, but people will still notice that something is wrong. Normal hair is fairly close together. But regardless, you will be happy at the improvement. But my guess, is that you, like me, will keep looking at the "thin" hair, with the wide spacing, and want more density. So I would recommend budgeting for *two* treatments. Preferably in a close timeframe to each other. So instead of saving $5000 for 1000 grafts, save $10,000 for 2000 grafts, and do two sessions of 1000 grafts each. Otherwise you will end up feeling just as uncomfortable looking in the mirror, and you will tend to wear caps all the time, and people will assume you are "balding", if not totally "bald".

Those warnings aside, I would still say that transplantation is the way to go. After a week of discomfort, all you have to do, is watch the hair grow, and then deal with it just like your old hair. You just can't have a total buzz cut, because you may see the scar at the back.

But I just did not want people to get in the trap of thinking they would save all their money for the minimum procedure, and then be dissapointed, because it does not look "normal". If you want normal looking hair, you will need to do at least 2 procedures in the same area to achieve thick density.
 

sal1

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Hey Guest. I fell into that exact situation. I had my first hair transplant at 28 in the crown area. I was even told by the Doctor that I'd only need one. Well I ended having three and the first two were hack jobs. Very deep pits on the scalp and a thick donar scar.

Now 7 years later I finaly found a Doctor that can make my scar thinner in the back so i'm hopeful it works. I need some work in the front now, but I'm just scared to do it. But I've seen this Doctor's work and its great. But I'm nervous because of my past procedures.

Hey Guest where on the scalp is your work done? All over or just front or crown? Are you concerned with healing or marks. I'd appreciate your feedback as I'm trying to decide what to do myself.

Thanks for the post Guest. Hope all goes well.
 

Kebabman

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Hi guys, just like to add my little bit of info on this.

Definitely agree that one session is not enough and maybe not even 2 at a starting point of a Norwood 5a. I've now had one session of 2200 grafts which look great 6 months on thanks to Dr Rose in Florida, but recently had another 1650 grafts around the front and on top. As they were only done 5 weeks ago it's too early to say how much more I will need to get the full coverage thus avoiding using Toppik again. It's a pity really because a few years ago I went to a Dr Norton in Yorkshire, England who turned out to only be a GP (general practitioner), and was disgraced about a year ago and struck off for cocking up various operations including liposuction. Anyway he took away a lot of my donor hair round the back which was wasted and left the density not as thick as Dr Rose wanted to give me more grafts on my recent trip. Dr Rose did do an amazing job of improving the scar which Norton had butchered, :( as well as covering the holes the butcher from hell left.

Anyway, time will tell, but as the guys have said above, h/transplants are the way to go. I researched thoroughly after my bad experience and couldn't be :D , thoroughly recommend Dr Rose, one of the best 3 in the world at a very good price.

The joy of knowing your hairs growing back is :D beyone belief.
 

sal1

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Hey Kebabman.

Can you tell me about your healing? Is it hard to detect? As a wrote above I am having my scar from previous botch job fixed. Well I hope it gets fixed. But any way I may have additional frontal work done at the same time, but Im terrified of pit marks like I have in my crown area from past procedures several years ago.

This Dr. here in Cleveland seems very good as I've seen his work up close and met with him several times. But I'm just looking for feedback from those who have had work done recently.

I'm trying to find out about healing and shedding and swelling etc.. with todays procedures. Can you talk some about this?

Thanks.

Sal1
 
G

Guest

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I had a transplant about 2 and half weeks ago. My healing was very swift and the transplants are really not visible anymore.

The swelling was major. I had 800 grafts in the front and had some serious swelling. In retrospect, icing the forehead from day one is recommended. I did not start to ice until day 3, which by then had the swelling down into my eyes.

All in all, not really a bad week, discomfort but no real pain to speak of. However, I took the week off and recommend this to all who have this much work done at once.

Brucelee
 

sal1

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Thanks Brucelee.

I'm hearing alot about the swelling that happens with frontal work. Its good to hear you healed so quickly and that there are no visible problems with tranplants themselves.

I appreciate your feed back. It helps. Glad things went well for you.

Sal1.
 

Kebabman

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sal1, well it's 5 weeks on for me now and no real pain at all, a slight itching round the back where the strips were taken from but it's not unpleasant or painful just where the scar is healing.

I have to say my only pain in the whole procedure was my fault because I had a few beers a couple of nights before the procedure and as you probably know alcohol thins the blood, and you're recommended not to drink for a week before surgery, but the thought of no beer for a week was :( . Anyway it was a little painful when the anaesthetic was wearing off when they were inserting the grafts and I needed another injection so as not to feel the pain, just don't do the same thing!

The actual recovery post surgery is great with Dr Rose. Twice now I've been given pain killers and not needed them, you're also given valium for first 2 nights to help you sleep but again they weren't needed. One thing I will recommend which I was careful about doing was spraying new grafts with Graftex every 30 mins or so till the bottle is empty, (about 3 to 4 days), I was also very conscious about using an ice pack on forehead for 15 mins every hour for first 3 days and had no swelling whatsoever. I was quite lucky because I was staying in a motel in Florida and was sunning myself or shopping with g/friend but the hair was the priority and it helped having an ice machine outside the door :lol:

As for the transplants 5 weeks on, they have all shed, now just waiting for the new growth! :wink:
 

crazydiamond

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kebabman / brucelee

Good luck with your growth guys. I too have just had my latest hair transplant by Dr Jones in Toronto, with 1400 grafts. Procedure itself was fine, did it to get the best density I could, but disaster has struck. Holy $hit did I get shock fallout, Im crapping myself right now because nearly every single hair from 4 previous surgeries fell out just afterwards. So I have gone from receeding to major balding in space of 2 weeks. What wasnt obvious is now too bad to think about. Had never used Toppik before but is a must right now, and just about getting away with it. Dr Jones assures me this will grow back, man it better, or its that freaky space helmet for me! I can only bear talking about it now, have been too distressed for last 2 weeks!! :evil:
 
G

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??As for the transplants 5 weeks on, they have all shed, now just waiting for the new growth! [icon_wink.gif] >>

I am curious. Did you use Minoxidil on the grafts post surgery? Also, are you using Propecia? There are reports that use of these two substances post surgery helps some folks avoid the shed cycle. I am also using Folligen spray diluted 50%.

It has been two and half weeks and so far my new hair has not shed. According to my surgeon, this should happen at three weeks so I will be curious if I am able to retain these little buggers and save three months on the re-growth process.

Brucelee
 
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Guest

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>>Holy $hit did I get shock fallout, Im crapping myself right now because nearly every single hair from 4 previous surgeries fell out just afterwards. So I have gone from receeding to major balding in space of 2 weeks. >>

I have never heard of previously transplanted hairs falling out. I have had a total of three sessions (all smaller than yours) and that did not happen to me.

Did you use any minoxidil after or did anything else happen post transplant to explain this? It is my understanding that mega sessions can be traumatic but this seems too harsh for words!

You deserve our support and maybe, just maybe, you need to rap that Dr. of yours upside his head, to see if maybe his hair will fall out in sympathy!

Brucelee
 

Kebabman

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BruceLee, yes I did start using minoxidil 5% about 10 days after surgery and use it once a day last thing at night as well as my daily dose of 1.25mg of Proscar which I've been on for about 18 months now. I also use T-Gel every other day and leave that on my hair for a couple of minutes. Dr Rose recommends the above as it encourages the new transplants coming through. There is also a chance of course of new hair coming through to combine with the transplanted ones, thus adding density. I'm happy with the regime as it goes, Proscar doesn't affect the sex drive either, keeps my girl :D anyway.

Crazydiamond, sorry to hear it man, I'm surprised what you said about the fall out. Not being funny but sure you're not imagining it? I've had days in the last week or so where the hair has looked "thinner" but a day or so later looks thicker again. I think a lot of it in my case is in the imagination. I've never heard of transplanted hairs falling out, think you should get back to your Dr and see what he has to say.
 

crazydiamond

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Oh man am i not imagining it, its serious fall out. I had not had any fall out from previous procedures but they were all only 600 and at the hairline, this was a larger session and was placing grafts in between mid section to give greater density. No obvious reasons, cant say was anything to do with Dr Jones it was just like the other procedures. I took propecia as before, but not minoxidil and didnt previous times. The new transplant hairs are coming through, but difficult to tell with the shocked ones as they are further back. As you know my pics are in the gallery section, if I can pluck up the courage to take a pic, I might just might post one on there to let people see. Theres nothing else I can do now but wait and see over the next 6 months if they all come back, and can then kick his ***. Dr Jones said it sounds like Tellogen shock and they will come back, he better be right.
 
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If Dr is not right, I will join you in kicking his ***!

Brucelee
 

sal1

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Crazydiamond, I've been following your posts for some time now. That's not good news with the shed. In a few months it going to be back. I had some shedding my last procedure in the crown and it came back. It just takes so damn long.

I am scheduled for oct. 29th to get some frontal work done and have my donar scar repaired. I'm still freaked about it though. I have had no frontal work done yet, only crown. I have moderate frontal loss and feel as though I'm going to lose all my original hair after this procedure. I already backed out three months ago and I'm even more nervous this time around.

I'm glad to hear Kebabman and Brucelee had some good results with their post surgery. Everyone is very helpful with their experiences. In the end everyone will have hair.

Thanks for the posts.

sal1
 
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Guest

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I had two previous frontal transplants. Never lost any original hair. On the second transplant, I did not even lose the transplanted hair for the dreaded three week shed.


This can work!

Good luck!

Brucelee

PS-my current hair transplant Doctor could not locate my previous donar scar. So, it is possible to have a nice clean job.
 

sal1

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Brucelee, thats great to hear! I keep asking myself how I'm going to conceal it if I do have a major shed. Then I think maybe it will go smooth like it has for you and some of the others here.

Its hard to imagine a donar scar thats hard to find. But your proof its possible.

Well thanks for your insight. It helps a great deal.

sal1
 
G

Guest

Guest
What I did was to start minoxidil twice a day at day 8 post transplant (same day the stiches were removed from the donor area and MD said it was OK). Also sprayed 50% solution of Folligen Spray once a day on transplants.

Continued with my propecia.

Also, I was very strict about using the bactracin ointment for the first five days, on the transplants and donor area.

Surgeon says he uses a Plastic stitch that takes an extra 20 minutes to use on the donor area. In his experience, this leaves little to no scaring, but that is somewhat tied to the person, as scaring is variable.

I don't tend to scar anyway so that helps.

Good luck

Brucelee
 

Hotlegs

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regarding the questions, the donor area has not tended to scar too much. I think the difference is based on the person, and also the doctor. I think if they do a good job with the stitches, and you don't tend to scar, you will be fine. Also, proper care is important. No itching or poking. And use the neosporin. It does help reduce scarring.

As far as the implant site, mine were both on the frontal area.
And yes, the swelling can be bad. Another reason people should never assume they can "go to work the next day" as some surgeons suggest in their advertising. Because you may look like charlie brown. With a big round head! So yes, be sure to use lots of ice on your head the first 3-4 days, and be sure to elevate your head at night. If it will spare you the puffy head, and swolen-shut eyes, it is worth it.

I didn't have a problem with shock fallout the first time.
I am hopefull I will not have any fallout this time either.

But yes, it hurts afterwards.
Yes, it is uncomfortable.
Yes, you may have bad swelling on your head.
Yes, you may need more than one procedure for good results.

But it will be worth it.

Just plan for 1-2 weeks off, and be prepared to suffer a bit for the benefits.
 
G

Guest

Guest
I second this and it is very much what my experience was. Ice right away is essential as is hygiene.

The scar I think is largely technique and personal response to tissue damage.

Well worth it in the hands of the right surgeon and it can be damn uncomfortable after the drugs wear off. Con't believe the ads indicating iti is a walk in the park, it is surgery!

Thanks

Brucelee
 

crazydiamond

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Sal1

I think I was just very unlucky this time, having had no fallout from 4 previous procedures. Scar is great, and new hair after 5 weeks is coming through, sure/hope the shocked hair will come back too. Having never used Toppik before I had no option but to use it this time, and must say I have been impressed by what it can cover up. I have taken pics of shock, and after applying Toppik, will get them put on to my gallery page, with a follow up in 4 months with hopefully a healthy head of hair.
 
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