4300 Grafts- Fue - Asmed - Dr. Koray

TemplesRunner

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Hey everyone,

I am 34 years old. My main issue with my hair (or lack of it :p) is my deep temporal recession (as you can see in the pictures attached). The temples have been receding ever since I was 22. in the age of 26 or so, I have started to take Propecia. the treatment pretty much stopped the receding and it is stable for the past 6-7 years.

It has always been my dream to have a hair transplant, but because I am very sensitive to ppl and work colleagues seeing me after the transplant and with no hair. I postponed the hair transplant as much as I could. I managed to get 4-5 months leave from work, so I'm hoping I'll have some hair by the time I have to go back to work.

Estimations I got
based on the pictures I sent I got an estimation from Dr. Koray 3800-4000 50 grafts per cm2

Dr. koray estimation was the highest from all the clinics I have contacted, but I saw it as a good thing - it's because he plans to cover more of the scalp with hair and for better density. given my current hair loss stage and the fact, the hair loss has stopped for the last 6 years - I was cool with his estimation.


Choosing a hair transplant Dr

I liked the results of Dr Koray, and I love his hairlines designs, as I like more relatively aggressive hairline (and not the "half circle", most sergeants do).
Another plus for ASMED, is my great personal patient coordinator, Suzana. unlike other clinics, I got from Suzana very thorough and quick answers to my questions. she was very patient with me even though I had A LOT of questions. sometimes she misses a few of my questions, but overall she is super helpful, nice and provided me with all the answers I needed - And most importantly she made me feel like someone is with me throughout the process which is very important to me, As i'm doing the procedure in a foreign country.

First day - consultation
I arrived in Istanbul at 09:00 (12.3.19). ASMED driver waited for me at the airport as Suzana said he would. I checked in the hotel, which is located 2 min walk from the clinic. then ASMED driver waited for me at 12:00 to take me to the clinic (it was raining so I used this service
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). Suzana welcomed me at the entrance and then I had some blood tests & heart rate checks. then I got photos of my current state. Afterward, I met DR. Koray he is a very nice person, he saw that my temples area was thin and asked me if I would like to transplant in that area as well to make it denser, I said yes and then he changed the grafts number for hair transplant from 4000 to 4300. he said that I have a good donor zone, and can reach 48 grafts per cm2, and that my average hair per graft ration is 1.9 (he wasn't far it was 2.13 according to his machine analysis). then he drew a hairline he thought is good for me, it was ok but I wanted it a little bit lower and the temples with a little less angle. he said we will consider it after the head shave - only then and after the grafts analysis he can know my actual current state and we will decide together.

So, they shaved my head, took a few pictures (shaved) and then I went to this machine that supposed to count the grafts and hairs from the entire head.

then we went back to DR he agreed to do the changes I wanted. in the room there where like 5 very pretty girls, he drew the new line (with the tweaks I requested) and each gave her input. the whole prosses took 4 min or so. then I looked in the mirror and was happy with that hairline.

the whole prosses took around 8 hours (i waited for the Dr consultation around 3 hours) I got to the hotel at 17:00, with the hairline drawn on my shaved head.

I should say that breakfast is served at the hotel and lunch and dinner is served at the clinic.

operation day 1+2
I got a really professional team (jasmin). I used the iPad they gave me as a mirror to see her work. she seemed very professional.
I didn't feel the anesthetics at all and slept half the surgery.
after the extraction (that was made by jasmin) i had lunch and got back to the incision part which is done by the Dr himself. when that part is finished jasmin continued to the implanting fase.
the second day repeated itself.

after the first operation day my face was doubled in size and after the second one, it tripled! I look now like a giant balloon.

operation details
1st day - hairline and temples - 2400 grafts.
2nd day - 1929 grafts'
density - 48 grafts per cm

572 - Singels
2733 Doubles
900 - Triples
118 - Quadruple
6 - Quintpule
Hair/grafts ratio 2.13

pictures before the hair transplant
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post op pics (with blowted face :)):
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2 days post op - close up:
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I will keep updating, I hope it will be a good transplant
 
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TemplesRunner

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Hey, 10 days have passed since the hair transplant.

The donor zone completely healed - no redness, no scars. I feel itchiness though. It seems that they did a good job on the extraction phase.

The density is lower in the transplanted area relative to the native hair, but I guess once the hair will grow and given that most of the grafts are 2+ hairs, it will look ok, but we will see.

Also the transplanted zone in totaly numb. I don't know if this is normal. I'll ask the clinic.

After day 6 my face returned to normal.

pics (HD + flash + florecent light - so no cover ups :)):
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TemplesRunner

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Hey everybody, this is a 1-month post update (the photos below were taken at 30 days mark at least).

The situation is dire, almost 90% of the transplanted hair has been shedding. I guess I need to look in the mirror and welcome with a heavy heart the ugly duckling phase :)

The shedding in one temple is worst than the other - can't really explain why.

I don't know if you guys can see it in the pics. but there are small hairs sprouting out, I'm having a hard time to believe these are newly grown hairs after only 1 month. maybe slow growing hairs from the hair transplant, we will see in time.

Another thing, As I'm suffering through this ugly duckling phase, I decided I am going to do what ever I can to accelerate the prosses. So I'm going to share with you guys the medication/supplements/shampoos I'm using, tell me what you think:

1. of course Propecia ( actually Proscar which I split 4 ways - I got a year supply from ASMED clinic).

2. minoxidil 5% foam - started at day 28 and will continue using it for 5 months (I don't like, never used it, but it helps growth so I will try just about anything). the clinic says not to use minoxidil solution (only after 6 months for it causes skin irritation, unlike minoxidil foam)

3. Nizoral shampoo 2/3 times a week (started after 5 weeks)

4. Sebamed anti-hair loss shampoo (with caffeine) for the days I'm not using Nizoral.

5. maxi hair supplements - which contains Biotin, MSM and a lot of different types of vitamins for hair growths.

6. saw palmetto + pumpkin seed oil

The pics:
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1 month 3.jpg
1 month.jpg
 

Rocknroutlaw

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Can I ask why this is in the FUT section?

I think your growth regime is sound. I am at 4.5 months post-op and also taking Finasteride, MSM, biotin, Saw palmetto, zinc and omega 3 fish oil.
I never had any issues using Minoxidil liquid and still continuing.
Additionally, I have added light dermastamping once a day and occasional massage whenever I can.
I also managed to stay off alcohol for the whole time since the surgery, but soon I'll start socially drinking again as I want my normal life back lol. I held out much longer than necessary.
 

TemplesRunner

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Can I ask why this is in the FUT section?

I think your growth regime is sound. I am at 4.5 months post-op and also taking Finasteride, MSM, biotin, Saw palmetto, zinc and omega 3 fish oil.
I never had any issues using Minoxidil liquid and still continuing.
Additionally, I have added light dermastamping once a day and occasional massage whenever I can.
I also managed to stay off alcohol for the whole time since the surgery, but soon I'll start socially drinking again as I want my normal life back lol. I held out much longer than necessary.

you are right my mistake, ill transfer it.

i am smoking. couldn't stop :)
 

Milkonos

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Can you tell how much you paid in total ? Here or via PM. I'd like to know how much Koray costs
 

irongymmer

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Can you tell how much you paid in total ? Here or via PM. I'd like to know how much Koray costs

I had a transplant with Erdogan a month ago as well, here's the general prices of the clinic I got via mail (if Erdogan does the incisions):

TYPES OF SURGERIES OFFERED

DES FUE with shaven hair

The technique used in our surgeries is called the DES Method (Dilek-Erdogan Sequential Extraction), created by Dr. Koray Erdogan and the head of the medical team, Dilek Çakir. This techniquewas highlighted at some of the most important recent international hair restoration congresses and was deemed to be one of the most refined and efficient FUE techniques used today by some of the world's most renowned FUE surgeons.



This same technique facilitates a quantity of extractions that until now was unthinkable with FUE using manual instrumentation: up to 5500 high quality grafts in 2 consecutive days. The extractions take place in a sitting position, the most efficient position for patient comfort and for effective extraction based on our experience. The graft extraction is strictly performed by "manual punch" (we do not use the "micro-motor" or the "motorized punch"). Today, the manual punch is believed to be the most efficient in preserving the donor area of the patient and maximizing the number of extractable grafts. At the same time, it guarantees the highest quality extracted grafts with minimal scarring. For this "standard" type of surgery, the hair is shaven in both the donor and recipient areas. The cost of this procedure is 2.5 Euros per graft including accommodations for 2-3 nights in the clinic's suite or at the 5* Radisson Blu Hotel, the surgical packet and all services related to the surgery.**





DES FUE "non-shaven" (partially shaven hair)

This type of surgery is executed in a similar manner to that of the DES technique with shaven hair. The difference is that the hair is shaven only in the graft extraction area allowing for a more rapid recovery of normal aesthetic conditions. This results in a quick return to work and a normal social life. This is a great option for those who have particular necessities or who simply desire greater discretion regarding their surgery. The hair is shaven only in the posterior (back) and lateral (side) areas of the scalp. The maximum number of grafts that can be transplanted with this method are from 5000-5500 units.



The cost is 3 Euros per transplanted unit and also in this case, includes accommodations for 2-3 nights in the clinic's suite or at the 5* Radisson Blu Hotel, the surgical packet and all services related to the surgery.**



DES FUE "long hair" (with long hair)

The surgery is performed without shaving the hair at all. The grafts are extracted from the donor area and are implanted in the recipient area maintaining the length of the extracted hair independently of the hair length itself. The remaining aspects of the procedure are handled in a similar way to that of DES FUE with shaven hair. The procedure is more laborious and difficult with long hair. For this reason, the maximum number of units that can be transplanted in one surgery is 2500 grafts spread over 2 days of surgery.


The cost is 5 Euros per transplanted unit including accommodations for 2-3 nights in the clinic's suite or at the 5* Radisson Blu Hotel, the surgical packet and all services related to the surgery.**
 

Milkonos

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DES FUE "long hair" (with long hair)

The surgery is performed without shaving the hair at all. The grafts are extracted from the donor area and are implanted in the recipient area maintaining the length of the extracted hair independently of the hair length itself. The remaining aspects of the procedure are handled in a similar way to that of DES FUE with shaven hair. The procedure is more laborious and difficult with long hair. For this reason, the maximum number of units that can be transplanted in one surgery is 2500 grafts spread over 2 days of surgery.


The cost is 5 Euros per transplanted unit including accommodations for 2-3 nights in the clinic's suite or at the 5* Radisson Blu Hotel, the surgical packet and all services related to the surgery.**
Thank you for your answer. So, basically ASMED is as expensive as the surgeons in western countries

Also, what's the point to transplant long hair without shaving the head if the final result can only be seen after 12-18months ? I mean, aren't the hair falling in the first weeks ?
 

irongymmer

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Thank you for your answer. So, basically ASMED is as expensive as the surgeons in western countries

Also, what's the point to transplant long hair without shaving the head if the final result can only be seen after 12-18months ? I mean, aren't the hair falling in the first weeks ?

Yes the transplanted hairs will still fall out, but for a smaller procedure you can then cover up with your remaining hair (if you have long enough hair) and have zero visible evidence of a transplant
 
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