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Strip then FUE - Couple of questions


#1

Ok guys, I was thinking for a while to go with a megasession of FUE,including BHT. I was going to go with either Dr. Umar or Arvind for about 9,000 grafts.

However, after viewing limited successful results, I have decided to go to strip first then FUE. Here are my questions.

I am basically a NW6.

How long do I have to wait before I fill in my strip scar? is 2 months enough?

How many FUE grafts does it take to fill in a strip scar, approximately?

What do you think of the idea? Is two surgeries in 2-3 months more practical than one large session of FUE?


#2

» Ok guys, I was thinking for a while to go with a megasession of
» FUE,including BHT. I was going to go with either Dr. Umar or Arvind for
» about 9,000 grafts.
»
» However, after viewing limited successful results, I have decided to go to
» strip first then FUE. Here are my questions.
»
» I am basically a NW6.
»
» How long do I have to wait before I fill in my strip scar? is 2 months
» enough?
»
» How many FUE grafts does it take to fill in a strip scar, approximately?
»
» What do you think of the idea? Is two surgeries in 2-3 months more
» practical than one large session of FUE?

If you are a NW6 you will want to use your donor hair for the top of your head for better coverage, not for the scar.

If you get a large strip surgery and the scar is from ear to ear like mine it could take 1,000 - 1,500 grafts to fill in the scar. Those are grafts that are better served to give you better coverage up top.

Not to mention those grafts are being placed in to scar tissue so the yield may not be fantastic.


#3

if you are norwood 6, you should forget it.

you are way too bald and won’t be able to pull off a natural look.


#4

You sound like you are in your twenties and desperate. What you plan on doing I would consider very reckless. What happens if your decision turns out badly? What’s plan B if you have a completely disfigured head? How many clinics have you had an evaluation with? How many patients have you met in person? How many patients have you spoke to over the phone? How long have you been actively researching the industry?

Cosmetic surgery is best approached very conservatively.

With all the available information I am becoming more inclined to shift a higher percentage of blame for a bad outcome on to younger patients who fail to heed the advice of others who have gone before them and less on the clinics themselves. Sometimes when you want something bad enough, regardless of if it’s right or wrong, there is always someone there to meet your need.

You are asking for advice, I suggest slowing down.


#5

» You sound like you are in your twenties and desperate. What you plan on
» doing I would consider very reckless. What happens if your decision turns
» out badly? What’s plan B if you have a completely disfigured head? How many
» clinics have you had an evaluation with? How many patients have you met in
» person? How many patients have you spoke to over the phone? How long have
» you been actively researching the industry?
»
» Cosmetic surgery is best approached very conservatively.
»
» With all the available information I am becoming more inclined to shift a
» higher percentage of blame for a bad outcome on to younger patients who
» fail to heed the advice of others who have gone before them and less on the
» clinics themselves. Sometimes when you want something bad enough,
» regardless of if it’s right or wrong, there is always someone there to meet
» your need.
»
» You are asking for advice, I suggest slowing down.

I respect your opinion. You are right I am in my twenties.

However, I have dozens of consults and I have been looking into the procedure for 3-4 years. I have narrowed my list of potential doctors to two or three.

Thank you though.


#6

Savemylife1, you are in your 20’s and are a NW6? How is your donor hair?


#7

» Savemylife1, you are in your 20’s and are a NW6? How is your donor hair?

Donor is average, from the consults I have been getting, which necessitates the need for BHT to some degree.

Also, I shouldn’t say I am a true NW6. More NW5, even then not completely bald but it is going to go.

Armani does great work, but way to expensive for me.


#8

» Armani does great work, but way to expensive for me.

Price is definitely a factor when deciding on a procedure if it is viable or not. Just do not choose your doctor solely based on price and location


#9

» » Armani does great work, but way to expensive for me.
»
» Price is definitely a factor when deciding on a procedure if it is viable
» or not. Just do not choose your doctor solely based on price and location

Totally agree with Pats205.

@savemylife1 – Concerning your mentioned graft amount, you should listen what e.g. Dr. Rassman is saying about this issue:

Besides that, if you have a “virgin scalp”, why don’t you leave it “virgin” as much as possible? That means, without strip scars or a ‘moth-eaten’ donor or any BHT procedures?

TODAY (actually since years), this is definitely possible and scientifically proven:

Resp. full text: http://www.hasci.com/uploads/downloads/dad01225-0ceb-4a30-90c4-771ed900f25aHSI%20-%20Artikel_Gho%20Neumann.pdf

That means, with some of such procedures over a couple of years (step-by-step), this might be an (safe) option for you for your hair loss future - for instance:
http://sharing.theflip.com/session/0b4f9814d703d4b9fc31d1b7503d3734/video/34615951

This guy is simply doing it ‘step-by-step’. IF he lose (and he will) more hair, he’ll always have enough reserves – WITHOUT any scars or whatsoever.

But there’re also similar procedures in the HT pipeline …


#10

I agree with the concerns of others but the only thing I would add is that FUE and body hair only as an option is probably the most risky in terms of the likelihood of a good outcome and good coverage (as I think you have discovered). It is all very well advising someone like you to take it slowly but you need a lot of grafts and obviously do not want to do this over three or four years. One other option that some offer is a hybrid procedure of FUE and strip in one session. DHI and BHR do this. I am in the same boat and am not sure what is best but your approach is in my sights too.

» Ok guys, I was thinking for a while to go with a megasession of
» FUE,including BHT. I was going to go with either Dr. Umar or Arvind for
» about 9,000 grafts.
»
» However, after viewing limited successful results, I have decided to go to
» strip first then FUE. Here are my questions.
»
» I am basically a NW6.
»
» How long do I have to wait before I fill in my strip scar? is 2 months
» enough?
»
» How many FUE grafts does it take to fill in a strip scar, approximately?
»
» What do you think of the idea? Is two surgeries in 2-3 months more
» practical than one large session of FUE?


#11

» I agree with the concerns of others but the only thing I would add is that
» FUE and body hair only as an option is probably the most risky in terms of
» the likelihood of a good outcome and good coverage (as I think you have
» discovered). It is all very well advising someone like you to take it
» slowly but you need a lot of grafts and obviously do not want to do this
» over three or four years. One other option that some offer is a hybrid
» procedure of FUE and strip in one session. DHI and BHR do this. I am in the
» same boat and am not sure what is best but your approach is in my sights
» too.
»

I agree that BHT is the riskiest. However, I feel confident in beard hair, and there I am probably a 10/10 as far as donor.

The FUE/BHT is going to be in the crown area and the top of the head.

The strip will take care of my hairline and frontal third. Since my donor is very average, I think the strip will only yield about 3500 grafts. That seems to be the consensus from all of my consults.

I am not looking for dense packing, most likely about 45 fu/cm in the frontal third.

I am not sure if I am willing to pay for chest/leg hair yet. I may just live with whatever my scalp/beard can get me.

Also, you are exactly right. I don’t want to do a 4 year process, mostly because I plan to settle into a career after this surgery. Taking time off every year is just not going to be plausible.

I am aware I might have to go back for more work, but this will hopefully be 7 years down the road.

My reason for splitting up the procedures is so that I can get FUE into my strip scar to help disguise it.

Pats - Thank you for your input. I agree that pricing should not be the solitary reason, or even the main reason. However, I am completely confident and sold on Dr. A, I believe I will get great value there.


#12

» » » Armani does great work, but way to expensive for me.
» »
» » Price is definitely a factor when deciding on a procedure if it is
» viable
» » or not. Just do not choose your doctor solely based on price and
» location
»
» Totally agree with Pats205.
»
» @savemylife1 – Concerning your mentioned graft amount, you should listen
» what e.g. Dr. Rassman is saying about this issue:
»
» http://www.baldingblog.com/2010/12/14/i-was-told-i-needed-5000-to-12000-grafts/
»
» Besides that, if you have a “virgin scalp”, why don’t you leave it
» “virgin” as much as possible? That means, without strip scars or a
» ‘moth-eaten’ donor or any BHT procedures?
»
» TODAY (actually since years), this is definitely possible and
» scientifically proven:
»
» http://www.ncbi.nlm.nih.gov/pubmed/20388024
»
» Resp. full text:
» http://www.hasci.com/uploads/downloads/dad01225-0ceb-4a30-90c4-771ed900f25aHSI%20-%20Artikel_Gho%20Neumann.pdf
»
» That means, with some of such procedures over a couple of years
» (step-by-step), this might be an (safe) option for you for your hair loss
» future - for instance:
» http://sharing.theflip.com/session/0b4f9814d703d4b9fc31d1b7503d3734/video/34615951
»
» This guy is simply doing it ‘step-by-step’. IF he lose (and he will) more
» hair, he’ll always have enough reserves – WITHOUT any scars or whatsoever.
»
» But there’re also similar procedures in the HT pipeline …
»
» http://www.youtube.com/watch?v=_-HyF49K7qU

Wow, thank you for such great information. I was not aware of this. Amazing.

Do you know which doctors offer this? Or are capable of performing this procedure?