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Topic Title: xample of overharvesting/shock loss
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Created On: 04/10/2017 12:25 PM
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 04/10/2017 12:25 PM
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topcat
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Posts: 2078
Joined: 10/04/2003

I thought this was a really good example of overharvesting/shock loss. It's important to understand because now that the strip story no longer works many clinics have moved on to not only fue but fue promising high numbers. Well high numbers may not be a good idea.

The procedure is limited in what can be restored so understand the numbers. Most can only achieve 25% coverage of their long term loss which is acceptable for some so plan wisely and plan long term.




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Stay away from doctors who perform mega sessions, have posts deleted, attack posters, sue patients & forum owners, use power drills or robots. I recommend fue with hand punches in the .70-.85 range. I consulted with dozens of clinics over the years and there was a recurring theme regarding FUE among some employees of those other clinics. I was told Bisanga was the man my research told me the same and my experience validated my own research.

Edited: 04/12/2017 at 01:36 PM by topcat
 04/19/2017 07:44 PM
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SeanFUE
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That is some serious overharvesting/shockloss. What is sad is that I know many folks that have donor shockloss and it hasn't even returned. This includes even folks who had less than 2000 total grafts extracted via FUE. The procedure doesn't even have to be that big and you can still end up with permanent damage. I even know a couple folks who have donor halos as a result of compressed extractions. Some even by the same clinic. It is absolutely ridiculous. I am just so fed up with docs taking advantage of folks to make money. Some folks just wish they can turn back time and never go through with the procedure. It is brutal when folks need to chase repairs on damaged tissue. Some docs need to get their licenses revoked, including some known and marketed names on forums.
 04/20/2017 02:38 AM
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topcat
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Yes Sean I agree and it all comes down to having the information. I know many in the industry seem to like to blame the patient but of course we all know many of these patients were not fully informed regardless of what the industry has to say. If they were informed they would lose the sweet spot of young guys between the ages of 20-30 and the only failure we would see is the failure in making the sale.

Of course there is more to know to what goes on in this industry then a few lines but we can start with this.

Most experiencing hair loss will lose up to 20,000 follicular units. If one chooses to pass on the strip procedure because they want to avoid the scar that removing a huge chunk of skin from the back of the head leaves then this definitely reduces the number of donor hairs available. They also might want to avoid the strip procedure because regardless of the number of hairs per graft those hairs are just too thick to not look slightly bizarre up close when used for the hairline. Anyone that disagrees needs to view dozens and dozens of hair transplants in person. This is often why you see people in the spotlight like Jeremy Pivens do the slight comb forward because we know he has had work done but more importantly it was a strip. You also avoid the visual depression at the back of the head at the line where the hair direction makes an abrupt change because part of the picture was removed.

This then reduces most to fue and the numbers for donor start to drop with an average being around 5000. That represents 25% of one's original hair. Long term that is a very, very bad combover. Short term it might work but long term the numbers don't lie.

Many believe they can take those 5000 grafts and have it done it steps or maybe one procedure depending. If you are working with 25% coverage how many chances do you get to make a mistake and go to where marketers would like you to go...................zero. There are no second chances with a very limited procedure.

You are basically cutting out 5000 pieces of skin and moving them into holes that have been cut out on the top of your head. Have you ever seen someone with acne scarring? Hair transplantation is not tweezing out hairs and moving them around it's cutting outs small chunks of skin. Even with all of this most doctors cannot achieve a density of more than 30 fu/cm which is nowhere near the density many young guys are expecting. They are simply told sure we can do that as opposed to being given the numbers. What are the numbers? Show me what you have achieved through pictures and a count while also being able to achieve that count over and over again. It can't be done. They can't show you those pictures because only a small percentage of original density can be achieved through surgery. So I were advising these young guys I would simply tell them it's impossible regardless of what a marketer would tell you. HT is see through hair. Yes some will have the lighting right with it coming from a certain angle as opposed to over head. It makes it look thick otherwise you would see right through it.

This can all easily cost $20K or more. If you are a repair patient anywhere from $50-$100K and at best you can still only achieve that small percentage of hair. My average workweek when I was younger was about 78 hours/week. It taught me to work hard because I needed to fix this which was a benefit but of course it would have been nice to avoid. If I had only had the information I needed but unfortunately it was nowhere to be found. There were no consumer advocates just as there are no consumer advocates today at least as of yet. A person either works in the industry and tries to make as many connections as possible or they don't. Understand this completely a consumer advocate cannot work in the same industry where he is advocating for the consumer.

When the procedure is explained in a way that one fully understands chances are they will wait until the time is appropriate or they will pass. This does not work for those that want to make money now. Of course there is more to all of this then what I have posted here but it's a start for those that are young and need information.

Some of the worst shock loss out there is a result of some of the other sh*t that is sold like PRP but if you tell people that how do you sell it. How about some of these doctors that post the feel good threads on toxins like those found in hair care products. You can see it over the years as it too is a repeatable pattern. Creating image I suppose. Yet you have some of those same doctors injecting ink into a guy's head for profit. Seems to be some kind of disconnect there wouldn't you say. Let me save you from your shampoo while I inject ink into your head that ends up in your lymph nodes. Many simply miss it all because they are desperate and it needs to be pointed out.The best advice for most is to just observe.

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Stay away from doctors who perform mega sessions, have posts deleted, attack posters, sue patients & forum owners, use power drills or robots. I recommend fue with hand punches in the .70-.85 range. I consulted with dozens of clinics over the years and there was a recurring theme regarding FUE among some employees of those other clinics. I was told Bisanga was the man my research told me the same and my experience validated my own research.

Edited: 04/20/2017 at 11:04 AM by topcat
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