Hiro03 - 4210 FUHT - non balding hairline (update)

I have not seen successful BHT’s. Don’t show me two out of thousands please. The ones I have seen here on the forums are in the most obvious worst lighting imaginable that it makes one cringe. The doctors I’m familiar with that do most BHTs and posting here are Dr A and Dr Umar. I have asked Dr Umar many questions which I Never got a respond to right here on these forums. I also asked patients of Dr A to post updated pics of their BHT progress but they STILL post 5 month post-op pics when it’s 3-4 years post-op right now. wtf?

I was one of the guys here who cheered and looked forward to BHT in the future, but I am sadened by the fact that I don’t see it currently as a successful procedure. Graft thousands of hair and watch up to 100 grow - and they have the audactiy to brag about em here.

My fingers are crossed by the time I need a BHT surgeons will have learned how to extract the follicles from the body and plant them successfully, and I aploud them for consistently trying. I look forward to them, but I do NOT see them as an option right now - other than repair cases.

But in Hiro’s case here I don’t understand what the big deal is. He got 4,000 grafts in zones 1,2 & 3. he was completey bald in zones 1 & 2. I’m pretty sure, whether it be with FUE or FUSS or BOTH mixed, he’d be able to squeeze 3000 which would provide plenty of coverage for zones 4 (crown) and more into zone 3 as I’m sure thats not where many of his grafts went before.

BHT shouldnt even be considered as an option for Hiro nor even mentioned. Agressive would have been if he had 3000+ at the hairline. this was 4000 in zones 1,2 &3.

Although the pics are not too clear on this, he also looks like he’s balding from the front going back. His genetics are on side and he definetly needs to stay on fin & minox.

» I have not seen successful BHT’s. Don’t show me two out of thousands
» please. The ones I have seen here on the forums are in the most obvious
» worst lighting imaginable that it makes one cringe. The doctors I’m
» familiar with that do most BHTs and posting here are Dr A and Dr Umar. I
» have asked Dr Umar many questions which I Never got a respond to right here
» on these forums. I also asked patients of Dr A to post updated pics of
» their BHT progress but they STILL post 5 month post-op pics when it’s 3-4
» years post-op right now. wtf?
»
» I was one of the guys here who cheered and looked forward to BHT in the
» future, but I am sadened by the fact that I don’t see it currently as a
» successful procedure. Graft thousands of hair and watch up to 100 grow -
» and they have the audactiy to brag about em here.
»
» My fingers are crossed by the time I need a BHT surgeons will have learned
» how to extract the follicles from the body and plant them successfully, and
» I aploud them for consistently trying. I look forward to them, but I do NOT
» see them as an option right now - other than repair cases.
»
» But in Hiro’s case here I don’t understand what the big deal is. He got
» 4,000 grafts in zones 1,2 & 3. he was completey bald in zones 1 & 2. I’m
» pretty sure, whether it be with FUE or FUSS or BOTH mixed, he’d be able to
» squeeze 3000 which would provide plenty of coverage for zones 4 (crown) and
» more into zone 3 as I’m sure thats not where many of his grafts went
» before.
»
» BHT shouldnt even be considered as an option for Hiro nor even mentioned.
» Agressive would have been if he had 3000+ at the hairline. this was 4000 in
» zones 1,2 &3.
»
» Although the pics are not too clear on this, he also looks like he’s
» balding from the front going back. His genetics are on side and he
» definetly needs to stay on fin & minox.

there will be no problem if this guy balds slowly and conservatively, but as I said if he goes to a NW7, and he continues to bald on the sides and back, NOT ON TOP, it will be a freakshow

Go look at James Baker, the former cabinet member of Reagan, he has a transplanted top front, and the sides and back continued to bald, it looks ridiculous.

People wishing to go the bht route should choose their doctor wisely. I decided to use a combo of beard and scalp hair. I researched and met other 2 other patients who had got bht from Dr. Arvind. They had good growth and I couldnt make out any scars.
After that, I went for my first transplant and waited over an year to monitor its growth before going for my next HT.
All the transplanted hair grew and there is no scarring. The myth about lack of growth from bht is a ploy used by incompetent doctors to hide their failures. In the right hands bht works just fine.

The simple bottom line is still the same.

BHTs are not reliable & thick looking enough to be anything but a last resort. (Or maybe slight thickener if you’re very hairy and VERY wealthy.) Being able to produce a few cases of success does not change the overall track record of the process, and that record has not been good.

In the bigger picture, what Hangin is correct about is that we need to shatter this myth that the continued hair loss ever ends. For too many guys it does not stop. No amount of medications is a very safe bet to do more than buy a few years or a decade, after which point THE LOSS WILL CONTINUE INDEFINITELY.

Right now, the transplant world will point to a 27yo transplant patient looking decent when he’s 33yo and call it a “long-term success.” This is absurd.

Actually Dev, I really didn’t want to call you out on this, but you’ve been posting the same 5 month post-op pic (only one) since July of 2008. I’ve asked you if you could kinly post updated and recent ones but never got a response. BHT can go wrong even up to a year, so it makes me wonder why you don’t post any pics past your 5 month post-op time frame. I hope you prove me wrong, because BHT is a life saver to many.

» People wishing to go the bht route should choose their doctor wisely. I
» decided to use a combo of beard and scalp hair. I researched and met other
» 2 other patients who had got bht from Dr. Arvind. They had good growth and
» I couldnt make out any scars.
» After that, I went for my first transplant and waited over an year to
» monitor its growth before going for my next HT.
» All the transplanted hair grew and there is no scarring. The myth about
» lack of growth from bht is a ploy used by incompetent doctors to hide their
» failures. In the right hands bht works just fine.

You were calling me out? I must have missed that. I am not glued to the sites and do not spend all my time here.

I recently had my next hair transplant at Dr. A’s Clinic. Pictures and details are given at the post I started. Check out http://www.hairsite.com/hair-loss/board_entry-id-50476.html I have taken more pictures last week and will post them.

I did take loads of pictures throughout the year, but never got round to posting all of them. Not because of lack of results. But because once I started seeing the results, I started spending less time on net and more on other parts of my life. :slight_smile:

» Actually Dev, I really didn’t want to call you out on this, but you’ve been
» posting the same 5 month post-op pic (only one) since July of 2008. I’ve
» asked you if you could kinly post updated and recent ones but never got a
» response. BHT can go wrong even up to a year, so it makes me wonder why you
» don’t post any pics past your 5 month post-op time frame. I hope you prove
» me wrong, because BHT is a life saver to many.
»
»
»
»
»
» » People wishing to go the bht route should choose their doctor wisely. I
» » decided to use a combo of beard and scalp hair. I researched and met
» other
» » 2 other patients who had got bht from Dr. Arvind. They had good growth
» and
» » I couldnt make out any scars.
» » After that, I went for my first transplant and waited over an year to
» » monitor its growth before going for my next HT.
» » All the transplanted hair grew and there is no scarring. The myth about
» » lack of growth from bht is a ploy used by incompetent doctors to hide
» their
» » failures. In the right hands bht works just fine.

» Patient nickname - Hiro03
» Procedure - 4210 strip FUHT grafts
» A Europe based Caucasian male.
»
» Note : All after pictures have been taken by the patient.
»
» Before
»


»
»
» After (almost) 5 months
»
»
»

Looks good. How old is he? You say he is what class? 4000 grafts is may be a bit too much no?

» I have not seen successful BHT’s. Don’t show me two out of thousands
» please. The ones I have seen here on the forums are in the most obvious
» worst lighting imaginable that it makes one cringe. The doctors I’m
» familiar with that do most BHTs and posting here are Dr A and Dr Umar. I
» have asked Dr Umar many questions which I Never got a respond to right here
» on these forums. I also asked patients of Dr A to post updated pics of
» their BHT progress but they STILL post 5 month post-op pics when it’s 3-4
» years post-op right now. wtf?
»
» I was one of the guys here who cheered and looked forward to BHT in the
» future, but I am sadened by the fact that I don’t see it currently as a
» successful procedure. Graft thousands of hair and watch up to 100 grow -
» and they have the audactiy to brag about em here.
»
» My fingers are crossed by the time I need a BHT surgeons will have learned
» how to extract the follicles from the body and plant them successfully, and
» I aploud them for consistently trying. I look forward to them, but I do NOT
» see them as an option right now - other than repair cases.
»
» But in Hiro’s case here I don’t understand what the big deal is. He got
» 4,000 grafts in zones 1,2 & 3. he was completey bald in zones 1 & 2. I’m
» pretty sure, whether it be with FUE or FUSS or BOTH mixed, he’d be able to
» squeeze 3000 which would provide plenty of coverage for zones 4 (crown) and
» more into zone 3 as I’m sure thats not where many of his grafts went
» before.
»
» BHT shouldnt even be considered as an option for Hiro nor even mentioned.
» Agressive would have been if he had 3000+ at the hairline. this was 4000 in
» zones 1,2 &3.
»
» Although the pics are not too clear on this, he also looks like he’s
» balding from the front going back. His genetics are on side and he
» definetly needs to stay on fin & minox.

Why are you comparing apples to oranges? BHT is best for repair, you can’t mention it in the same context as regular head donor. If you need repair work, you need body hair, there is no other option. Umar and Woods have done some amazing repair work.

» I have not seen successful BHT’s. Don’t show me two out of thousands
» please.

From all that i have seen, the issue with BHT is that:

the hairs are mostly singles and this has a bigger impact than one might imagine. (giving 50% impact compared with scalp AT BEST!)

The diameter is usually less than scalp hair maybe loosing another 15% impact

Only about 60% are showing (ie not in kenogen / an apparently empty follicle) at any time. (I am not certain of this but it seems the case)

All in all this gives a like for like coverage of 25% compared with scalp hair.

I think that the expertise has improved a lot and the proficient surgeons are getting a lower total failure rate than a couple of years back.

I wouldn’t put my last doller on what I have said but it all looks that way to me.

» In the bigger picture, what Hangin is correct about is that we need to
» shatter this myth that the continued hair loss ever ends. For too many
» guys it does not stop. No amount of medications is a very safe bet to do
» more than buy a few years or a decade, after which point THE LOSS WILL
» CONTINUE INDEFINITELY.
»
» Right now, the transplant world will point to a 27yo transplant patient
» looking decent when he’s 33yo and call it a “long-term success.” This is
» absurd.

.

So what you prophets of doom are saying is dont bother with a hairtranplant as the meds will stop working sooner or later. Moreover many people with hairloss may end up norwoods 6-7 with a halo surrounding there transplanted hair. Which makes them look really bad.

Well newsflash i look really bad with no hair. Worse than the guy with halo affect.

I would rather have a transplant and have 50 years of my life with hair.

Here is a person who has kept his hair after 10 to 12 years after transplant.
http://www.hairsite.com/hair-loss/forum_entry-id-48447-page-2-category-2-order-last_answer.html

» » I have not seen successful BHT’s. Don’t show me two out of thousands
» » please. The ones I have seen here on the forums are in the most
» obvious
» » worst lighting imaginable that it makes one cringe. The doctors I’m
» » familiar with that do most BHTs and posting here are Dr A and Dr Umar.
» I
» » have asked Dr Umar many questions which I Never got a respond to right
» here
» » on these forums. I also asked patients of Dr A to post updated pics of
» » their BHT progress but they STILL post 5 month post-op pics when it’s
» 3-4
» » years post-op right now. wtf?
» »
» » I was one of the guys here who cheered and looked forward to BHT in the
» » future, but I am sadened by the fact that I don’t see it currently as a
» » successful procedure. Graft thousands of hair and watch up to 100 grow
» -
» » and they have the audactiy to brag about em here.
» »
» » My fingers are crossed by the time I need a BHT surgeons will have
» learned
» » how to extract the follicles from the body and plant them successfully,
» and
I aploud them for consistently trying. I look forward to them, but I do
NOT see them as an option right now - other than repair cases.
» » But in Hiro’s case here I don’t understand what the big deal is. He got
» » 4,000 grafts in zones 1,2 & 3. he was completey bald in zones 1 & 2.
» I’m
» » pretty sure, whether it be with FUE or FUSS or BOTH mixed, he’d be able
» to
» » squeeze 3000 which would provide plenty of coverage for zones 4 (crown)
» and
» » more into zone 3 as I’m sure thats not where many of his grafts went
» » before.
» »
» » BHT shouldnt even be considered as an option for Hiro nor even
» mentioned.
» » Agressive would have been if he had 3000+ at the hairline. this was 4000
» in
» » zones 1,2 &3.
» »
» » Although the pics are not too clear on this, he also looks like he’s
» » balding from the front going back. His genetics are on side and he
» » definetly needs to stay on fin & minox.
»
» Why are you comparing apples to oranges? BHT is best for repair, you can’t
» mention it in the same context as regular head donor. If you need repair
» work, you need body hair, there is no other option. Umar and Woods have
» done some amazing repair work.

You’re agreeing with me. I highlighted the part in red above where I stated I too believe it’s the option for repair work. You are comparing apples with oranges because I was refering to BHT for non-repair works.

» Who s the doctor, Dr. Arvind or Dr. Ruby?

Dr. Arvind. Though Dr. Ruby is also an exceptionally good doctor and has done some very nice hairline work.

So what you prophets of doom are saying is dont bother with a hairtranplant as the meds will stop working sooner or later. Moreover many people with hairloss may end up norwoods 6-7 with a halo surrounding there transplanted hair. Which makes them look really bad.

Well newsflash i look really bad with no hair. Worse than the guy with halo affect.

I would rather have a transplant and have 50 years of my life with hair.

Here is a person who has kept his hair after 10 to 12 years after transplant.
http://www.hairsite.com/hair-loss/forum_entry-id-48447-page-2-category-2-order-last_answer.html

Hey, you’re not alone in this. If I could come within ten miles of looking decent with a shaved head I would never have started coming here.

But facts are facts. Not all transplants go bad, but neither do all transplants (including the ones from decent docs) last a lifetime either.

The HT industry is also collectively ignoring donor thinning issues. I don’t think even the respected clinics are really giving this adequate attention.

Everything I’ve seen makes me think this: On average, we can usually get away with about 2-3 norwood levels of improvement from HTs if we exhaust the donor. This is for truly thick-looking “bright daylight” hair in the recipient areas, and not risking overtaxing the donor areas in terms of age-related thinning later on.

Of course any of the major clinics can produce a bunch of cases of guys with HTs that come out WAY better than this. But there are just as many guys out there whose HT options are way less than this. I’m talking about averages.

» You’re agreeing with me. I highlighted the part in red above where I
» stated I too believe it’s the option for repair work. You are comparing
» apples with oranges because I was refering to BHT for non-repair works.

Yeah so why would you want to compare the two when you already know they are apples and oranges? What’s the point? You raised a question and you shot it down at the same time.

»
»
»
» But facts are facts. Not all transplants go bad, but neither do all
» transplants (including the ones from decent docs) last a lifetime either.
»
» The HT industry is also collectively ignoring donor thinning issues. I
» don’t think even the respected clinics are really giving this adequate
» attention.
»

» Everything I’ve seen makes me think this: On average, we can usually get
» away with about 2-3 norwood levels of improvement from HTs if we exhaust
» the donor. This is for truly thick-looking “bright daylight” hair in the
» recipient areas, and not risking overtaxing the donor areas in terms of
» age-related thinning later on.
»
» Of course any of the major clinics can produce a bunch of cases of guys
» with HTs that come out WAY better than this. But there are just as many
» guys out there whose HT options are way less than this. I’m talking about
» averages.

» So what you prophets of doom are saying is dont bother
» with a hairtranplant as the meds will stop working sooner or later.
» Moreover many people with hairloss may end up norwoods 6-7 with a halo
» surrounding there transplanted hair. Which makes them look really bad.
»
» Well newsflash i look really bad with no hair. Worse than the guy with
» halo affect.
»
» I would rather have a transplant and have 50 years of my life with hair.
»
»
» Here is a person who has kept his hair after 10 to 12 years after
» transplant.
» http://www.hairsite.com/hair-loss/forum_entry-id-48447-page-2-category-2-order-last_answer.html
»

»
» Hey, you’re not alone in this. If I could come within ten miles of
» looking decent with a shaved head I would never have started coming here.
»
»
»
» But facts are facts. Not all transplants go bad, but neither do all
» transplants (including the ones from decent docs) last a lifetime either.
»
» The HT industry is also collectively ignoring donor thinning issues. I
» don’t think even the respected clinics are really giving this adequate
» attention.
»
»
»
»
» Everything I’ve seen makes me think this: On average, we can usually get
» away with about 2-3 norwood levels of improvement from HTs if we exhaust
» the donor. This is for truly thick-looking “bright daylight” hair in the
» recipient areas, and not risking overtaxing the donor areas in terms of
» age-related thinning later on.
»
» Of course any of the major clinics can produce a bunch of cases of guys
» with HTs that come out WAY better than this. But there are just as many
» guys out there whose HT options are way less than this. I’m talking about
» averages.

we get a good idea of how much safe donor hair is available for use in HT. So it must be very low i am just guessing here but it looks like 5000 units to 6000 units. For average hair density and laxity. So if this is true than how much donor hair is taken outside of this area when a clinc does a HT greater than these numbers.

The problem is that a doc can only best guess what norwood scale a patient might end up. So people are for one reason or another over taxing there donor.

I think that we have let HT industry tell us what is acceptable. When people say things like my clinc is better than yours and yer nice HT and the patient has had 5000 units to the front zones. Then a conservative HT is done of 1000 units and people compare it to the 5000 procedure. Then the Doc who does the Conseravative HT is then justifying himself on the forum. Before long he is influenced to do the same thing.

» we get a good idea of how much safe donor hair is available for use in HT.
» So it must be very low i am just guessing here but it looks like 5000 units
» to 6000 units. For average hair density and laxity. So if this is true than
» how much donor hair is taken outside of this area when a clinc does a HT
» greater than these numbers.

Well, Hasson and Wong can easily do up to 8000 or more on most people.

» we get a good idea of how much safe donor hair is available for use in HT.
» So it must be very low i am just guessing here but it looks like 5000 units
» to 6000 units. For average hair density and laxity. So if this is true than
» how much donor hair is taken outside of this area when a clinc does a HT
» greater than these numbers.

Well, if you go for pure FUE, I guess the number is more like 4000-5000 max or the donor will look like crap. To get upward of 6000 units, you will need to do strip or strip-fue combo.

Well, Hasson and Wong can easily do up to 8000 or more on most people.

Can they do that on most of their patients? Maybe.

Can that do it on most people who walk through their doors? I doubt it. Every respectable clinic turns away a decent percentage of people as bad HT candidates. 8000 grafts is not an average HT achievement by any stretch of the imagination.

» Nice work but using this many grafts on this guy is just insane in my
» opinion
» his temples and the hair below the temples, that point that goes out, is
» already
» rapidly thinning
»
» you used up anywhere from 50 to 65 percent of his scalp donor already with
» this procedure
»
» if he continues to bald rapidly, this aggressive thick hairline will make
» him look like a freak in 15 yrs

Knowing the way Dr. A consults and plans, I think they must have planned for a NW6 eventuality. This patient has fue from head as well as his beard available. The worst here may be a bald crown (provided he keeps getting more ht to keep up with his hairloss). That not too bald considering he has a great front hair when he needs it.